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Advances in Medicine
Volume 2018, Article ID 8697470, 8 pages
Research Article

The Role of Private Health Sector for Tuberculosis Control in Debre Markos Town, Northwest Ethiopia

1Department of Medical Laboratory Science, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
2School of Medicine, Debre Markos University, Debre Markos, Ethiopia

Correspondence should be addressed to Alemayehu Reta; moc.oohay@ateruheyamela

Received 23 July 2017; Accepted 21 November 2017; Published 28 January 2018

Academic Editor: Isamu Sugawara

Copyright © 2018 Alemayehu Reta and Addis Simachew. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Tuberculosis has been declared to be a global epidemic. Despite all the effort, only less than half the annual estimated cases are reported by health authorities to the WHO. This could be due to poor reporting from the private sector. In Ethiopia, tuberculosis has also been a major public health problem. The aim of this study was to assess the role of the private health sector in tuberculosis control in Debre Markos. Methods. An institution based cross-sectional descriptive study was carried out in private health facilities. A total of 260 tuberculosis suspects attending the private clinics were interviewed. Focus group discussion, checklist, and structured questionnaire were used. Results. Majority of the private clinics were less equipped, poorly regulated, and owned by health workers who were self-employed on a part-time basis. Provider delay of 4 and more months was significantly associated higher likelihood of turning to a private provider (OR = 2.70, 95% CI = (1.20, 6.08)). Conclusions and Recommendations. There is significant delay among tuberculosis patients. Moreover, there is poor regulation of the private health sector by public health authorities. The involvement of the private sector in tuberculosis control should be limited to identification and refer to tuberculosis cases and suspects.