TY - JOUR KW - Anti-HIV Agents KW - Antitubercular Agents KW - Coinfection KW - Cooperative Behavior KW - Delivery of Health Care, Integrated KW - Directly Observed Therapy KW - Disease Notification KW - HIV Infections KW - Hospitals, Proprietary KW - Hospitals, Voluntary KW - Humans KW - Interinstitutional Relations KW - Nigeria KW - Practice Patterns, Physicians' KW - Private Sector KW - Public health KW - Public-Private Sector Partnerships KW - Retrospective Studies KW - Treatment Outcome KW - Trimethoprim, Sulfamethoxazole Drug Combination KW - Tuberculosis KW - Urban Health Services AU - Daniel O J AU - Adedeji Adejumo O AU - Abdur-Razzaq H A AU - Ngozi Adejumo E AU - Salako A A AB -

SETTING: Private and public tuberculosis (TB) treatment centres in Lagos State, Nigeria.

OBJECTIVE: To assess the contribution of private health care providers to TB and TB-HIV (human immunodeficiency virus) case finding in Lagos State.

DESIGN: A retrospective review of programme data submitted to the Lagos State TB and Leprosy Control Programme in 2011 by public, private for-profit (PFP) and private not-for-profit (PNFP) health care providers.

RESULTS: A total of 8425 TB cases were notified by 31 private (11 PFP and 20 PNFP) and 99 public health facilities in Lagos State. Overall, the private facilities were responsible for 10.3% (866/8425) of the total TB cases notified. The proportion of TB patients tested for HIV was respectively 86.2%, 53.1% and 96.5% among public, PFP and PNFP facilities. Overall, 22.4% of the TB patients were HIV-positive. The HIV positivity rate among public, PFP and PNFP facilities was respectively 23.8%, 7.8% and 9.9%. Uptake of cotrimoxazole preventive therapy was respectively 69.6%, 25% and 38.2% among public, PFP and PNFP facilities, while that of antiretroviral therapy was respectively 23.8%, 8.3% and 9.1% in public, PFP and PNFP facilities.

CONCLUSION: There is a need to scale up collaboration with the private sector, and particularly PNFP health providers.

BT - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease C1 - http://www.ncbi.nlm.nih.gov/pubmed/23928168?dopt=Abstract DA - 2013 Sep DO - 10.5588/ijtld.12.0759 IS - 9 J2 - Int. J. Tuberc. Lung Dis. LA - eng N2 -

SETTING: Private and public tuberculosis (TB) treatment centres in Lagos State, Nigeria.

OBJECTIVE: To assess the contribution of private health care providers to TB and TB-HIV (human immunodeficiency virus) case finding in Lagos State.

DESIGN: A retrospective review of programme data submitted to the Lagos State TB and Leprosy Control Programme in 2011 by public, private for-profit (PFP) and private not-for-profit (PNFP) health care providers.

RESULTS: A total of 8425 TB cases were notified by 31 private (11 PFP and 20 PNFP) and 99 public health facilities in Lagos State. Overall, the private facilities were responsible for 10.3% (866/8425) of the total TB cases notified. The proportion of TB patients tested for HIV was respectively 86.2%, 53.1% and 96.5% among public, PFP and PNFP facilities. Overall, 22.4% of the TB patients were HIV-positive. The HIV positivity rate among public, PFP and PNFP facilities was respectively 23.8%, 7.8% and 9.9%. Uptake of cotrimoxazole preventive therapy was respectively 69.6%, 25% and 38.2% among public, PFP and PNFP facilities, while that of antiretroviral therapy was respectively 23.8%, 8.3% and 9.1% in public, PFP and PNFP facilities.

CONCLUSION: There is a need to scale up collaboration with the private sector, and particularly PNFP health providers.

PY - 2013 SP - 1195 EP - 8 T2 - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease TI - Public-private mix for TB and TB-HIV care in Lagos, Nigeria. VL - 17 SN - 1815-7920 ER -