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Tuberculosis Research and Treatment
Volume 2014, Article ID 720432, 9 pages
http://dx.doi.org/10.1155/2014/720432
Research Article

Quality of Tuberculosis Care in Private Health Facilities of Addis Ababa, Ethiopia

1Policy and Planning Directorate, Federal Ministry of Health (FMOH), P.O. Box 50332, Addis Ababa, Ethiopia
2Department of Public Health, College of Health and Medical Sciences, Haramaya University, P.O. Box 235, Harar, Ethiopia
3School of Public Health, College of Medical Sciences, Addis Ababa University, P.O. Box 3253, Addis Ababa, Ethiopia

Received 4 September 2013; Revised 26 November 2013; Accepted 18 December 2013; Published 29 January 2014

Academic Editor: Luis E. Cuevas

Copyright © 2014 Gezahegn Gebrekidan et al. 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.

Abstract

Ensuring provision of good quality tuberculosis (TB) care, especially in private for profit health facilities, is an important component of TB control strategy to reduce poor medical practice which results in multidrug resistant TB (MDR-TB). The aim of this study was to investigate quality of TB care in private health facilities of Addis Ababa. A facility based cross-sectional study was conducted based on Donabedian’s structure-process-outcome model of health care quality. Quality of care was determined by adherence to National TB Program guidelines, treatment success rate, and client satisfaction. Exit interview was conducted on 292 patients on the intensive phase of treatment and 384 patient records were reviewed in eight private health facilities. Initial diagnostic AFB test was done for 95.4% of pulmonary TB patients. Most important components of TB care recommended by national guidelines were delivered for a significant proportion of patients. Majority (75%) of the clients were found to be satisfied with each component of TB care. The treatment success rate was 90.9%. The quality of TB care was fairly good. However, only 77.7% of the patients were counseled for HIV testing. Strengthening HIV counseling and testing, tackling shortage of streptomycin and laboratory reagent at private TB clinic is crucial.