Document Type
Poster
Date
8-27-2024
Description/Abstract
Background: Viet Nam’s second prevalence survey uncovered a higher than expected burden of TB. Studies have indicated that people with TB who are ‘missed’ by existing services are equally split between those seeking care in the private sector and those not accessing healthcare. Intervention: We established a public-private interface agency (PPIA) to engage private doctors for TB treatment reporting in 14 districts across Ho Chi Minh City (HCMC) and Hai Phong, Viet Nam. Treatment data were collected and patients missing sputum results were offered an Xpert MTB/RIF test to increase the rate of bacteriologically-confirmed TB and to identify drug resistance. Initiative staff cleaned the data and checked for duplicates in the government’s e-reporting system (VITMES) before official notification. We collected aggregate notification data for all treatments sties in both cities to compare changes in notifications before (2019) and during (2020) our initiative. Results: 62 private providers shared treatment data for 1,746 patients with our initiative. 1,453 (83.2%) patients were then officially notified in VITIMES (1,186 in HCMC and 267 in Hai Phong). There were 19,271 notifications across the 38 districts of HCMC and Hai Phong in 2019, 16.0% of which originated at private sites. In 2020, notifications increased by just +1.3%. However, public-sector notifications declined by -5.1% and private notifications (excluding our initiative) declined by -12.1%. It is only with the addition of our initiative’s notifications that any gains were recorded at all. Although we reported fewer notifications in Hai Phong, our contribution to city-wide totals was twice as large as in HCMC (14.5% vs 6.7% of all notifications in 2020). Conclusions: The COVID-19 pandemic likely resulted in the large declines observed public-sector notifications. Further evaluations of this PPIA initiative are needed to understand whether its notifications represent a displacement of existing notifications or outreach to previously ‘missed’ individuals.
Disciplines
Education
Recommended Citation
Hoang, Lan Anh, "Impact of a Public-Private Interface Agency for Tuberculosis Reporting during COVID-19 Pandemic in Vietnam" (2024). International Programs. 265.
https://surface.syr.edu/eli/265
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
