Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms sugg...Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms suggestive of TB are first seen byprivate health providers. Dependable, quality surveillance systems and notification are key roles in health services delivery, particularly as it is related to TB control. However, poor notification has been a challenge. This study was to assess the contribution of the public private mix (PPM) to Nigeria Tuberculosis national case notification. Methods: It was a national cross-sectional study. Data were extracted from the National database and reviewed. Private facilities were engaged in 2017 and assessed over 2018-2020. Interventions included: enrolling private practitioners (Private-For-Profit, Faith Based Organization, Private Medicine Vendors and Community Pharmacists), engaging a private standalone Laboratory for Gene Xpert testing within the network of private facilities, use of Mobile App for easy screening and reporting, instituting a HUB and spoke, and incentives to private providers for participating. Each private provider had a customized approach. Trend analysis was performed using Cochran-Armitage χ<sup>2</sup> test for linear trends. Level of significance was at a p value of Results: Total case notification increased from 104,904 cases in 2017 to 138,591 in 2020. There were 2.0% increase in 2018, 13.0% in 2019 and 15.0% in 2020 (p < 0.001). PPM contribution to case notification increased from 10,699 cases in 2017 to 12,625 in 2018, then 17,250 in 2019 and 38,865 in 2020. There were 18.0% increase in 2018, 36.6% in 2019 and 125.3% increase in 2020 (p ). Conclusion: Effective engagement of the private sector in TB control efforts in Nigeria using a variety of approaches resulting in improved TB notification is possible. The National TB Programme should engage all private practitioners such that each practitioner will practice at least one TB service model.展开更多
“Pakistan regards China as a strategic partner and the bilateral ties have endured the test of time.”Pakistani Prime Minister Shaukat Aziz made the comment during his four-day official visit to China on April 16 whe...“Pakistan regards China as a strategic partner and the bilateral ties have endured the test of time.”Pakistani Prime Minister Shaukat Aziz made the comment during his four-day official visit to China on April 16 when he met Chinese President Hu Jintao,Premier Wen Jiabao and the NPC Standing Committee Chairman Wu Bangguo.His visit to China also included a trip to Boao,where he delivered a keynote speech at the Boao Forum for Asia held on April 20-22. During his stay in Beijing,the two countries signed 13 agreements on cooperation in the fields of space,telecommunications,education and legal assistance,which enhanced an already close strategic partnership. In an interview with Beijing Review reporter Pan Shuangqin,Prime Minister Aziz addressed a number of issues ranging from Asia's searching for a win-win economic situation to the influence of Sino-Pakistani relations on regional peace.展开更多
文摘Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms suggestive of TB are first seen byprivate health providers. Dependable, quality surveillance systems and notification are key roles in health services delivery, particularly as it is related to TB control. However, poor notification has been a challenge. This study was to assess the contribution of the public private mix (PPM) to Nigeria Tuberculosis national case notification. Methods: It was a national cross-sectional study. Data were extracted from the National database and reviewed. Private facilities were engaged in 2017 and assessed over 2018-2020. Interventions included: enrolling private practitioners (Private-For-Profit, Faith Based Organization, Private Medicine Vendors and Community Pharmacists), engaging a private standalone Laboratory for Gene Xpert testing within the network of private facilities, use of Mobile App for easy screening and reporting, instituting a HUB and spoke, and incentives to private providers for participating. Each private provider had a customized approach. Trend analysis was performed using Cochran-Armitage χ<sup>2</sup> test for linear trends. Level of significance was at a p value of Results: Total case notification increased from 104,904 cases in 2017 to 138,591 in 2020. There were 2.0% increase in 2018, 13.0% in 2019 and 15.0% in 2020 (p < 0.001). PPM contribution to case notification increased from 10,699 cases in 2017 to 12,625 in 2018, then 17,250 in 2019 and 38,865 in 2020. There were 18.0% increase in 2018, 36.6% in 2019 and 125.3% increase in 2020 (p ). Conclusion: Effective engagement of the private sector in TB control efforts in Nigeria using a variety of approaches resulting in improved TB notification is possible. The National TB Programme should engage all private practitioners such that each practitioner will practice at least one TB service model.
文摘“Pakistan regards China as a strategic partner and the bilateral ties have endured the test of time.”Pakistani Prime Minister Shaukat Aziz made the comment during his four-day official visit to China on April 16 when he met Chinese President Hu Jintao,Premier Wen Jiabao and the NPC Standing Committee Chairman Wu Bangguo.His visit to China also included a trip to Boao,where he delivered a keynote speech at the Boao Forum for Asia held on April 20-22. During his stay in Beijing,the two countries signed 13 agreements on cooperation in the fields of space,telecommunications,education and legal assistance,which enhanced an already close strategic partnership. In an interview with Beijing Review reporter Pan Shuangqin,Prime Minister Aziz addressed a number of issues ranging from Asia's searching for a win-win economic situation to the influence of Sino-Pakistani relations on regional peace.
