Scaling up tuberculosis case finding via private providers in Ghana: an impact evaluation using interrupted time series.

ABSTRACT:

Background

Although TB services are free in Ghana, TB case detection remains low and mostly limited to public facilities. To address this, a Public-Private Mix (PPM) Directly Observed Therapy (DOT) model was introduced, involving community private healthcare providers and the National Health Insurance Scheme (NHIS) to boost TB case detection rates.

Methods

This impact evaluation focuses on four key interventions targeting vulnerable populations in Ghana's two largest metropolitan areas between the last quarter of 2018 and the first quarter of 2020. Screening and TB register data were collected from implementing facilities, along with TB case notifications from 2015 to 2022 for both intervention and control areas. Comparative interrupted time series (ITS) analysis was used to

SUBMITTER: Hayibor KM 

PROVIDER: S-EPMC12417460 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature