Imperial College London
Alternate

ProfessorPeterWhite

Faculty of Medicine, School of Public Health

Professor of Public Health Modelling
 
 
 
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Contact

 

p.white Website

 
 
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Location

 

Praed StreetSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Braham:2018:10.1371/journal.pone.0199413,
author = {Braham, C and White, P and Arinaminpathy, N},
doi = {10.1371/journal.pone.0199413},
journal = {PLoS ONE},
title = {Management of tuberculosis by healthcare practitioners in Pakistan: A systematic review},
url = {http://dx.doi.org/10.1371/journal.pone.0199413},
volume = {13},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective:To assess the quality of tuberculosis (TB) care in Pakistan, through determining comparison of healthcare practitioners’ knowledge and practices to national and international TB care guidelines.Methods:Studies reporting on knowledge, attitudes and practices of public and private practitioners with TB patients were selected through searching electronic databases and grey literature.Findings:Of 1458 reports, 20 full-texts were assessed, of which 11 met the eligibility and quality criteria; all studies focused on private sector care. Heterogeneity precluded meta-analysis. In 3 of 4 studies, over 50% of practitioners correctly identified a cough as the main TB symptom. However, 4 out of 6 studies showed practitioners’ compliance to be low (under 50%) for the use of sputum microscopy in diagnosis. The poorest quality care occurred in the later stages of treatment, with low compliance in prescribing practices for continuation-phase care and in monitoring and recording treatment progress, the latter of which is particularly critical for treatment success.Conclusion:TB care was variable and generally inadequate, with both a lack of knowledge and a small ‘know-do’ gap evident—practitioners did not use methods that they know they should use. A lack of recent evidence found suggests that the quality of current practices may not be fully captured and further research is needed, especially on non-allopathic, rural and public-sector contexts. Improved training of practitioners, greater availability of recommended diagnostic tools and expansion of public-private partnerships are suggestions for improving the quality of TB care in Pakistan.
AU  - Braham,C
AU  - White,P
AU  - Arinaminpathy,N
DO  - 10.1371/journal.pone.0199413
PY  - 2018///
SN  - 1932-6203
TI  - Management of tuberculosis by healthcare practitioners in Pakistan: A systematic review
T2  - PLoS ONE
UR  - http://dx.doi.org/10.1371/journal.pone.0199413
UR  - http://hdl.handle.net/10044/1/60320
VL  - 13
ER  -
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