SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY
Background: Tuberculosis (TB) is widespread in Africa, but weak health systems in developing countries, often display poor quality of care with delays in case identification, irrational therapy and drug shortage, clinical mismanagement, unnecessary expenditures for patients, reduced adherence and in...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2014-06-01
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| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
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| Online Access: | http://www.mjhid.org/index.php/mjhid/article/view/1394 |
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| author | Fina Vieira Mamadu Saliu Sanha Fabio Riccardi Raffaella Colombatti |
| author_facet | Fina Vieira Mamadu Saliu Sanha Fabio Riccardi Raffaella Colombatti |
| author_sort | Fina Vieira |
| collection | DOAJ |
| description | Background: Tuberculosis (TB) is widespread in Africa, but weak health systems in developing countries, often display poor quality of care with delays in case identification, irrational therapy and drug shortage, clinical mismanagement, unnecessary expenditures for patients, reduced adherence and increased mortality. Public-private partnership has demonstrated to increase TB case detection, but less is known about its effects on quality of care, mortality and costs for hospitalized TB patients.
Methods: Clinical outcomes and costs for TB patients at the TB National Reference Center of Bissau, in Guine Bissau, West Africa were determined during the first 5 months of the public-private management and compared to the ones of previous years when the hospitals was under direct Government’s management.
Results: 215 (2009) and 194 (2013) patients were admitted, respectively. Improvement (p<0.05) was observed in mortality reduction (21% vs 6%), analysis prescription and diagnosis (39% vs 100%), cause of death determination (50% vs 85%), treatment abandonment (15 vs 1). Direct costs for patients during TB diagnostic pathway and inpatient care were significantly reduced, 475 vs 0 USD.
Conclusions: Public-private partnerships displays important short term benefits in National TB reference centers, even in post-conflict and low-resource countries. Further studies could aid in determining the overall long term benefits of this type of cooperation and the specific characteristic of TB and concomitant hematologic and infectious diseases in TB admitted patients. |
| format | Article |
| id | doaj-art-910a464f9bf04f1dbfc245f8b51f3f52 |
| institution | Kabale University |
| issn | 2035-3006 |
| language | English |
| publishDate | 2014-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-910a464f9bf04f1dbfc245f8b51f3f522025-01-02T01:33:46ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062014-06-0161e2014049e201404910.4084/mjhid.2014.0491154SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITYFina Vieira0Mamadu Saliu Sanha1Fabio Riccardi2Raffaella Colombatti3Hospital Raoul FollereauHospital Raoul Follereau, Aid Health and DevelopmentUniversità di Tor VergataClinic of Pediatric Hematology-Oncology, Department of Pediatrics, Azienda Ospedaliera-Università di Padova, Padova, Italy.Background: Tuberculosis (TB) is widespread in Africa, but weak health systems in developing countries, often display poor quality of care with delays in case identification, irrational therapy and drug shortage, clinical mismanagement, unnecessary expenditures for patients, reduced adherence and increased mortality. Public-private partnership has demonstrated to increase TB case detection, but less is known about its effects on quality of care, mortality and costs for hospitalized TB patients. Methods: Clinical outcomes and costs for TB patients at the TB National Reference Center of Bissau, in Guine Bissau, West Africa were determined during the first 5 months of the public-private management and compared to the ones of previous years when the hospitals was under direct Government’s management. Results: 215 (2009) and 194 (2013) patients were admitted, respectively. Improvement (p<0.05) was observed in mortality reduction (21% vs 6%), analysis prescription and diagnosis (39% vs 100%), cause of death determination (50% vs 85%), treatment abandonment (15 vs 1). Direct costs for patients during TB diagnostic pathway and inpatient care were significantly reduced, 475 vs 0 USD. Conclusions: Public-private partnerships displays important short term benefits in National TB reference centers, even in post-conflict and low-resource countries. Further studies could aid in determining the overall long term benefits of this type of cooperation and the specific characteristic of TB and concomitant hematologic and infectious diseases in TB admitted patients.http://www.mjhid.org/index.php/mjhid/article/view/1394tuberculosismortalitydiagnosisAfricacost |
| spellingShingle | Fina Vieira Mamadu Saliu Sanha Fabio Riccardi Raffaella Colombatti SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY Mediterranean Journal of Hematology and Infectious Diseases tuberculosis mortality diagnosis Africa cost |
| title | SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY |
| title_full | SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY |
| title_fullStr | SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY |
| title_full_unstemmed | SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY |
| title_short | SHORT TERM ADVANTAGES OF A PUBLIC-PRIVATE PARTNERSHIP FOR TUBERCULOSIS IN GUINEA BISSAU: REDUCTION OF MORTALITY AND INCREASED DIAGNOSTIC CAPACITY |
| title_sort | short term advantages of a public private partnership for tuberculosis in guinea bissau reduction of mortality and increased diagnostic capacity |
| topic | tuberculosis mortality diagnosis Africa cost |
| url | http://www.mjhid.org/index.php/mjhid/article/view/1394 |
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