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Active referral: an innovative approach to engaging traditional healthcare providers in TB control in Burkina Faso
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0001-9865-4405
2013 (English)In: Healthcare policy [ Politiques de santé ], ISSN 1715-6572, Vol. 9, no 2, p. 51-64Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVE: The involvement of traditional healthcare providers (THPs) has been suggested among strategies to increase tuberculosis case detection. Burkina Faso has embarked on such an attempt. This study is a preliminary assessment of that model.

METHODS: Qualitative data were collected using unstructured key informant interviews with policy makers, group interviews with THPs and health workers, and field visits to THPs. Quantitative data were collected from program reports and the national tuberculosis (TB) control database.

RESULTS AND ANALYSIS: The distribution of tasks among THPs, intermediary organizations and clinicians is appealing, especially the focus on active referral. THPs are offered incentives based on numbers of suspected cases confirmed by health workers at the clinic, based on microscopy results or clinical assessment. The positivity rate was 23% and 9% for 2006 and 2007, respectively. The contribution of the program to national case detection was estimated at 2% for 2006. Because it relied totally on donor funding, the program suffered from irregular disbursements, resulting in periodic decreases in activities and outcomes.

CONCLUSIONS: The study shows that single interventions require a broader positive policy environment to be sustainable. Even if the active referral approach seems effective in enhancing TB case detection, more complex policy work and direction, domestic financial contribution and additional evidence for cost-effectiveness are needed before the approach can be established as a national policy.

Place, publisher, year, edition, pages
Longwoods Publishing , 2013. Vol. 9, no 2, p. 51-64
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
URN: urn:nbn:se:oru:diva-39360DOI: 10.12927/hcpol.2013.23619PubMedID: 24359717Scopus ID: 2-s2.0-84890874694OAI: oai:DiVA.org:oru-39360DiVA, id: diva2:768979
Available from: 2014-12-05 Created: 2014-12-04 Last updated: 2017-10-18Bibliographically approved

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Kaboru, Berthollet Bwira

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • asciidoc
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