Decentralisation and integration of paediatric tuberculosis services to primary healthcare facilities as an approach to optimise management in Cameroon and Kenya: a descriptive cohort study.

ABSTRACT:

Introduction

Tuberculosis (TB) remains a major cause of morbidity and mortality for children less than 5 years. Diagnosis and treatment of children with active TB is often centralised in district hospital settings due to poor public health infrastructure and lack of diagnostic capabilities in primary healthcare (PHC) facilities. This analysis aims to evaluate TB case detection and treatment outcomes by comparing district hospitals and PHC facilities.

Methods

To increase paediatric TB case detection, an intervention was designed to decentralise and integrate paediatric TB diagnosis and management into PHC facilities. Between May 2019 and March 2021, we screened and enrolled children under age 5 years with presumptive TB at different entry points in 32 study facilities in Keny

SUBMITTER: Masaba R 

PROVIDER: S-EPMC12599118 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature