We aimed to describe the distribution of tuberculosis （TB） health workers in China and provide evidences of potential inequity for policy development. We used Lorenz curves and Gini index to characterize the distrib...We aimed to describe the distribution of tuberculosis （TB） health workers in China and provide evidences of potential inequity for policy development. We used Lorenz curves and Gini index to characterize the distribution of TB health workers by population size, geographical area and number of annual registered TB cases. An additional stratified analysis was done by three economic regions. The Gini index were 0.33 for population size, 0.62 for geographical area and 0.30 for number of registered tuberculosis cases that indicated an acceptable average, significant inequity and a relative average distribution nationwide respectively.展开更多
Background:Although Ghana does not fall into the category of those countries which have a high burden of tuberculosis(TB),the disease does present considerable economic and health limitations to individuals infected w...Background:Although Ghana does not fall into the category of those countries which have a high burden of tuberculosis(TB),the disease does present considerable economic and health limitations to individuals infected with,and affected by,the disease,as well as to the health system in general.Despite this fact,insufficient studies have been done on the key barriers to controlling the disease.This paper presents results from an exploratory study on the constraints of controlling TB in Ghana based on the opinions of health service providers.Methods:In-depth interviews were conducted with frontline health workers involved in TB control in the country.Participants were purposively selected from a pool of national and regional,and district and facility level coordinators of the National Tuberculosis Control Programme(NTP).One key informant was also selected from an international non-governmental organisation(NGO)involved in TB-related activities in Ghana.Observations were utilised to complement the study.Data were analysed inductively.Results:Respondents identified the following as being constraints to TB control:clinical complication,bottlenecks in funding administration,quality of physical infrastructure,competition for attention and funding,unsatisfactory coordination between TB and HIV control programmes,a poor public-private partnership,and weak monitoring and evaluation of interventions.Conclusions:This paper provides evidence of some key barriers to TB control.The barriers,as reported,were generally health system-based.Although this list of barriers is not exhaustive,it would be useful to take them into account when planning for TB control,thus adopting a more rounded approach to TB management in the country.As well as that,further studies should be done to explore patients’views on health service-related barriers to TB control.展开更多
The progress of the World Bank loaned TB control project implemented from the second quarter of 1991 to the fourth quarter of 1993 was reported in this paper. In the past three years, 737 counties of the 12 provinces ...The progress of the World Bank loaned TB control project implemented from the second quarter of 1991 to the fourth quarter of 1993 was reported in this paper. In the past three years, 737 counties of the 12 provinces with the popula-展开更多
Since the founding of new China, the status of tuberculosis (TB) has been greatly improved through effective control measures and application of research achievements. In the early 1950s, more than 90% of adults in Sh...Since the founding of new China, the status of tuberculosis (TB) has been greatly improved through effective control measures and application of research achievements. In the early 1950s, more than 90% of adults in Shanghai and Tianjin had been infected. Tuberculosis ranked the first among the leading causes of death in big cities and the mortality rate reached 169-259/100000 in Beijing, Shanghai, Tianjin, Guangzhou and Hangzhou. The estimated prevalence of tuberculosis in the urban area (3500/100000) was higher than that in the countryside (1500/100000).展开更多
The results of three nationwide epidemiological surveys on tuberculosis showed the declination of the magnitude of tuberculosis from 1979 to 1990 was slower. The case registration rates and new case registration rates...The results of three nationwide epidemiological surveys on tuberculosis showed the declination of the magnitude of tuberculosis from 1979 to 1990 was slower. The case registration rates and new case registration rates within ten years展开更多
Health care facilities are a high-risk environment for generating and spreading respiratory infectious diseases such as tuberculosis （TB）. The TB prevention and treatment staff in health care facilities are responsi...Health care facilities are a high-risk environment for generating and spreading respiratory infectious diseases such as tuberculosis （TB）. The TB prevention and treatment staff in health care facilities are responsible for the identification, diagnosis, treatment, supervision, and management of TB patients .展开更多
基金supported by Ministry of Health,China and the Swedish International Development Cooperation Agency granted project "Evidence for Policy and Implementation (EPI-4) Intensifying efforts to achieve the health-related MDGs in four countries with developing economies"
文摘We aimed to describe the distribution of tuberculosis （TB） health workers in China and provide evidences of potential inequity for policy development. We used Lorenz curves and Gini index to characterize the distribution of TB health workers by population size, geographical area and number of annual registered TB cases. An additional stratified analysis was done by three economic regions. The Gini index were 0.33 for population size, 0.62 for geographical area and 0.30 for number of registered tuberculosis cases that indicated an acceptable average, significant inequity and a relative average distribution nationwide respectively.
文摘Background:Although Ghana does not fall into the category of those countries which have a high burden of tuberculosis(TB),the disease does present considerable economic and health limitations to individuals infected with,and affected by,the disease,as well as to the health system in general.Despite this fact,insufficient studies have been done on the key barriers to controlling the disease.This paper presents results from an exploratory study on the constraints of controlling TB in Ghana based on the opinions of health service providers.Methods:In-depth interviews were conducted with frontline health workers involved in TB control in the country.Participants were purposively selected from a pool of national and regional,and district and facility level coordinators of the National Tuberculosis Control Programme(NTP).One key informant was also selected from an international non-governmental organisation(NGO)involved in TB-related activities in Ghana.Observations were utilised to complement the study.Data were analysed inductively.Results:Respondents identified the following as being constraints to TB control:clinical complication,bottlenecks in funding administration,quality of physical infrastructure,competition for attention and funding,unsatisfactory coordination between TB and HIV control programmes,a poor public-private partnership,and weak monitoring and evaluation of interventions.Conclusions:This paper provides evidence of some key barriers to TB control.The barriers,as reported,were generally health system-based.Although this list of barriers is not exhaustive,it would be useful to take them into account when planning for TB control,thus adopting a more rounded approach to TB management in the country.As well as that,further studies should be done to explore patients’views on health service-related barriers to TB control.
文摘The progress of the World Bank loaned TB control project implemented from the second quarter of 1991 to the fourth quarter of 1993 was reported in this paper. In the past three years, 737 counties of the 12 provinces with the popula-
文摘Since the founding of new China, the status of tuberculosis (TB) has been greatly improved through effective control measures and application of research achievements. In the early 1950s, more than 90% of adults in Shanghai and Tianjin had been infected. Tuberculosis ranked the first among the leading causes of death in big cities and the mortality rate reached 169-259/100000 in Beijing, Shanghai, Tianjin, Guangzhou and Hangzhou. The estimated prevalence of tuberculosis in the urban area (3500/100000) was higher than that in the countryside (1500/100000).
文摘The results of three nationwide epidemiological surveys on tuberculosis showed the declination of the magnitude of tuberculosis from 1979 to 1990 was slower. The case registration rates and new case registration rates within ten years
基金funded by the China-Gates Foundation TB Control Project(Phase Ⅱ)(51914)
文摘Health care facilities are a high-risk environment for generating and spreading respiratory infectious diseases such as tuberculosis （TB）. The TB prevention and treatment staff in health care facilities are responsible for the identification, diagnosis, treatment, supervision, and management of TB patients .
