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Int J Tuberc Lung Dis. 2012 Dec;16(12):1625-9. doi: 10.5588/ijtld.12.0295.

Suspected tuberculosis case detection and referral in private pharmacies in Viet Nam.

Author information

1
Department of Pharmacotherapy and Pharmaceutical Care, University of Groningen, Groningen, The Netherlands. d.h.vu@rug.nl

Abstract

SETTINGS:

Private pharmacies in Hanoi, Viet Nam.

OBJECTIVES:

To explore the response of health care providers (HCPs) in private pharmacies to suspected tuberculosis (TB) patients.

METHODS:

A simulated patient method combined with an interview in 128 randomly selected private pharmacies and 10 private pharmacies near TB hospitals.

RESULTS:

In the simulated patient method and interview, respectively 59 (46%) and 70 (55%) of HCPs referred the TB suspect to general health care. Only 11 (9%) referred the simulated patient to a TB care facility. Fifty-two (42%) of the HCPs identified suspected TB from a fictitious case described on paper; 34 (27%) were aware that free treatment was provided under the National Tuberculosis Programme (NTP). Knowledge about free NTP treatment predicted a higher rate of direct referrals to TB facilities (OR 5.80, 95%CI 1.88-19.62) and greater ability to identify suspected TB from a fictitious case on paper (OR 5.14, 95%CI 2.36-11.73). Pharmacies with Good Pharmacy Practice (GPP) certification were less likely to refer simulated patients to TB facilities than non-GPP pharmacies (OR 0.10, 95%CI ≤0.01-0.79).

CONCLUSIONS:

Nearly half of HCPs in private pharmacies do not refer TB suspects, possibly contributing to delays in diagnosis and treatment. Knowledge about free NTP treatment predicted better performance of HCPs.

PMID:
23131260
DOI:
10.5588/ijtld.12.0295
[Indexed for MEDLINE]
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