Do doctors in north-western Somalia follow the national guidelines for tuberculosis management?
AbstractA cross-sectional study assessed the knowledge and practices of registered practitioners in management of tuberculosis [TB] in north-western Somalia. Of 100 registered doctors, 53 were interviewed. Of these, 32 [64%] had treated TB patients during the previous year, but only 1 had notified the authorities, 33 [66%] knew the most important symptoms and 32 [64%] identified sputum smear microscopy as the most important diagnostic test. Only 4 doctors prescribed the correct regimen and only 7 advocated direct observation. Suboptimal knowledge was more common among doctors working in private practice [relative risk: 2.1; 95% CI: 1.1-4.3]. Patients are being treated in the private sector, but few doctors follow national treatment guidelines. Training in diagnosis and case management is needed to improve TB control in Somalia
Suleiman, B.A., Houssein, A.I., Mehta, F. & Hinderaker, S.G. (2003). Do doctors in north-western Somalia follow the national guidelines for tuberculosis management?. http://www.who.int/iris/handle/10665/119332
EMHJ - Eastern Mediterranean Health Journal, 9 (4), 789-795, 2003
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