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Collaboration between private pharmacies and national tuberculosis programme: an intervention in Bolivia

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dc.contributor.author Lambert, M. L. en_US
dc.contributor.author Delgado, R. en_US
dc.contributor.author Michaux, G. en_US
dc.contributor.author Vols, A. en_US
dc.contributor.author Speybroeck, N. en_US
dc.contributor.author Van der Stuyft, P. en_US
dc.date.accessioned 2007-12-06T14:42:58Z
dc.date.available 2007-12-06T14:42:58Z
dc.date.issued 2005 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2004.01383.x
dc.identifier.other ITG-H1A en_US
dc.identifier.other ITG-A5A en_US
dc.identifier.other ITG-HLA en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-EPID en_US
dc.identifier.other ANIMAL en_US
dc.identifier.other U-ANIMAL en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other MULTI en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTB en_US
dc.identifier.uri http://hdl.handle.net/10390/1313
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract BackgroundPublic–private partnerships are felt to be necessary for tuberculosis (TB) control in some developing countries. ObjectivesTo evaluate the potential of a collaboration between the National TB Programme (NTP) and private pharmacies in Bolivia, the country with the highest TB incidence in Latin America. MethodsWe contacted the local Pharmacists' Association in the city of Cochabamba, and designed a two phase intervention. The objectives of the first phase were to decrease the availability of TB drugs in private pharmacies on a voluntary basis, and to improve referral of clients seeking TB drugs to the NTP. A survey of all pharmacies allowed for a before–after comparison with a baseline survey. The objectives of the second phase were to obtain referral of pharmacy clients with chronic cough for TB screening in the NTP. This phase was started in 70 pharmacies and evaluated after 2 months using the referral slips issued by the pharmacists. ResultsThe proportion of pharmacies selling TB drugs decreased (rifampicin: 23–11.5%; isoniazid: 16–3.1%; P < 0.001) and the proportion of pharmacies referring to the NTP clients seeking TB drugs increased (22–58%; P < 0.0001). In the second phase, 26 of 70 pharmacies (38%) referred a total of 41 clients for screening in the NTP (i.e. an average of 0.29 clients per pharmacy and per month); 11 of 41 (27%) were screened and three of 11 (27%) diagnosed with smear-positive TB. ConclusionThe first phase of the intervention proved effective in reducing the availability of the main TB drugs in pharmacies, and in improving referral of clients seeking TB drugs. Key factors in this success were not specific to Bolivia, and collaboration between private pharmacies and public services appears possible in that respect. However, collaboration with pharmacies does not seem an efficient way to increase the number of patients screened for TB, and to shorten delays to TB diagnosis and treatment. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Bacterial diseases en_US
dc.subject Tuberculosis en_US
dc.subject National programs en_US
dc.subject Drug availability en_US
dc.subject Pharmacies en_US
dc.subject Private sector en_US
dc.subject Drug dispensing en_US
dc.subject Referral en_US
dc.subject Public-private partnerships en_US
dc.subject Bolivia en_US
dc.subject America, Latin en_US
dc.title Collaboration between private pharmacies and national tuberculosis programme: an intervention in Bolivia en_US
dc.type Article en_US
dc.citation.issue 3 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 10 en_US
dc.citation.pages 246-250 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/15730509
dc.citation.jabbreviation Trop Med Int Health en_US


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