Gaps in tuberculosis care in West Sepik Province of Papua New Guinea

T. Kelebi, K. C. Takarinda, Robert Commons, B. Sissai, J. Yowei, M. Gale

    Research output: Contribution to journalArticle

    Abstract

    Setting: Papua New Guinea (PNG), a low-resource country with a high tuberculosis (TB) burden.

    Objective: To describe the characteristics, treatment outcomes and risk factors for unfavourable outcomes among patients registered for first-line tuberculosis (TB) treatment between 1 January 2014 and 31 December 2016 in West Sepik Province.

    Design: This was a retrospective cohort study of routinely collected programme data.

    Results: Of 1058 cases, 50.7% were male and 38.8% were aged <15 years; 43.1% were extrapulmonary TB cases and 280 (26.5%) were bacteriologically confirmed. No human immunodeficiency virus (HIV) status was recorded for 74.7% of cases. Of 1019 (96.3%) patients with a recorded outcome, 779 (76.4%) were favourable and 240 (23.6%) were unfavourable. On multivariable logistic regression, increasing age was associated with an increased odds of an unfavourable outcome (adjusted OR [aOR] 1.06 per every 5-year increase, 95%CI 1.02–1.11; P = 0.006) and being a retreatment case was associated with a reduced odds of an unfavourable outcome compared to new cases (aOR 0.54, 95%CI 0.31–0.93; P = 0.027).

    Conclusion: This study identified substantial gaps in TB care, including low rates of bacteriological diagnosis and HIV testing, and high rates of loss to follow-up, highlighting the need to strengthen TB control efforts, includingsupport for new cases.
    Original languageEnglish
    Pages (from-to)S68-S72
    Number of pages5
    JournalPublic Health Action
    Volume9
    Issue numberSupplement 1
    DOIs
    Publication statusPublished - 21 Sep 2019

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  • Cite this

    Kelebi, T., Takarinda, K. C., Commons, R., Sissai, B., Yowei, J., & Gale, M. (2019). Gaps in tuberculosis care in West Sepik Province of Papua New Guinea. Public Health Action, 9(Supplement 1), S68-S72. https://doi.org/10.5588/pha.18.0057