Manuscript_TB capacity_Accepted (002).pdf (1.19 MB)
Health system capacity for Tuberculosis Care in Ethiopia: evidence from national representative survey
journal contribution
posted on 2023-06-09, 20:31 authored by Amare Deribew, Tariku Dejene, Atkure Defar, Della Berhanu, Sibhatu Biadgilign, Ephrem Tekle, Kassahun Asheber, Kebede KassayeObjective The objective of this study was to evaluate the TB health system capacity and its variations by location and types of health facilities in Ethiopia. Settings The study included 873 public and private health facilities all over Ethiopia. Design We used the Service Provision Assessment plus (SPA+) survey data that were collected in 2014 in all hospitals and randomly selected health centers and private facilities in all regions of Ethiopia. We assessed structural, process and overall health system capacity based on the Donabedian quality of care model. Multiple linear regression and spatial analysis were done to assess TB capacity score variation across regions. Results A total of 873 health facilities were included in the analysis. The overall TB care capacity score was 76.7%, 55.9% and 37.8% in public hospitals, health centers and private facilities respectively. The health system capacity score for TB was higher in the urban (60.4%) facilities compared to that of the rural (50.0%) facilities (ß=8.0, 95%CI: 4.4, 11.6). Health centers (ß= 16.2, 95%CI: -20.0, -12.3) and private health facilities (ß= -38.3, 95%CI: -42.4, -35.1) had lower TB care capacity score than hospitals. Overall TB care capacity score were lower in Western and Southern western Ethiopia and in Benishangul Gumz and Gambella regions. Conclusions The health system capacity score for TB care in Ethiopia varied across regions. Health system capacity improvement interventions should focus on the private sectors and health facilities in the rural and remote areas to ensure equity and improve quality of care.
Funding
The Global Atlas of Podoconiosis; G1974; WELLCOME TRUST; 201900/Z/16/Z
History
Publication status
- Published
File Version
- Accepted version
Journal
International Journal for Quality in Health CareISSN
1353-4505Publisher
Oxford University PressExternal DOI
Issue
5Volume
32Page range
306-312Department affiliated with
- Global Health and Infection Publications
Research groups affiliated with
- Brighton and Sussex Centre for Global Health Research Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2020-02-05First Open Access (FOA) Date
2021-04-01First Compliant Deposit (FCD) Date
2020-02-04Usage metrics
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