KẾT QUẢ MỘT SỐ CAN THIỆP Y TẾ CÔNG CỘNG VÀ RÀO CẢN ẢNH HƯỞNG TỚI CÔNG TÁC SÀNG LỌC, CHẨN ĐOÁN VÀ ĐIỀU TRỊ LAO TIỀM ẨN TẠI HAI TỈNH QUẢNG NAM, ĐÀ NẴNG

Abstract

A pragmatic cluster randomized trial of Latent Tuberculosis Infection (LTBI) diagnosis and treatment at the two provinces of Quang Nam and Danang and the results of public health interventions was conducted to evaluate the results of public health interventions for individuals who are screened, diagnosed, and treated for LTBI. By cascade analysis at the intervention sites, 1.623 household contacts were listed, in which, 65,6% (1.064) visited to district health centers for LTBI screening, 65,4% (1.062) completed the screening, 46,8% (760) completed medical examinations, 33,8% (548) was recommended to start LTBI therapy, and 29,9% (485) started LTBI therapy. Barriers affecting drops-out at each step of the cascade included limited knowledge of TB and LTBI, perceived stigma, habits in seeking health services, etc. The research results showed that public health interventions helped in increasing percentage of household contacts’ participation in each step of LTBI management cascade when compared with the baseline data and with the control sites; which proved the feasibility of scaling up the LTBI intervention as one prioritized program in the NTP.