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Open AccessArticle

Satisfaction Level of Tuberculosis Patients Regarding Their Access to TB Care and Prevention Services, Delivered Through a Public–Private Mix Model in Pakistan

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Monitoring, Evaluation and Learning Unit, Mercy Corps, Lane 9, Chak Shehzad, Park Road, Islamabad 44000, Pakistan
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Pakistan Scientific and Technological Information Center (PASTIC), Quaid-e-Azam University (QAU) Campus, Islamabad 44000, Pakistan
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Author to whom correspondence should be addressed.
Healthcare 2019, 7(4), 119; https://doi.org/10.3390/healthcare7040119
Received: 20 September 2019 / Revised: 14 October 2019 / Accepted: 15 October 2019 / Published: 18 October 2019
Objective: The private healthcare providers (PHCP) are believed to improve access to healthcare services in public–private mix (PPM) projects, as they are considered first point of contact for healthcare. The purpose of this study was to determine the satisfaction level of tuberculosis (TB) patients. Design: A questionnaire-based, cross-sectional study was carried out during November and December 2017 for 572 under-treatment patients registered with PHCPs in the PPM project. Lot quality assurance sampling technique was used to randomly select 19 districts from a sample frame of 75 districts. In each selected district, the data collector retrieved a TB register of 8 months (January–August 2017) and systematically selected patients by fixed periodic interval. SPSS version 24.0 (IBM Corp, Amonk, NY, USA) was used to analyze the data. Results: This study included 53% (n = 301) males and 47% (n = 271) females, with mean age of 38 years (SD, ±18). Almost half of the participants were illiterate (51%, n = 289), and 64% (n = 365) were non-earning members of the family. In practice, most of the participants visit private providers (71%, n = 407), including private hospitals/clinics (44%) and traditional practitioners (27%; n = 153); 55% of participants visited their current doctor because of the clinic’s proximity to their residence. Of the participants, 82% (n = 469) were satisfied with TB care services and 85% (n = 488) said that they would recommend this clinic to others. Conclusion: PHCPs are preferred providers for individuals, which is consistent with findings of other studies. Though they are satisfied with TB care and services, interventions should be introduced to reduce the financial burden on the patient. Partnering PHCP is a way forward to ensure universal health coverage and better health outcomes of the population. View Full-Text
Keywords: patient satisfaction; quality of care; private healthcare provider; public–private mix model; tuberculosis control; health system patient satisfaction; quality of care; private healthcare provider; public–private mix model; tuberculosis control; health system
MDPI and ACS Style

Ali, S.M.; Anjum, N.; Naureen, F.; Rashid, A.; Tahir, A.; Ishaq, M.; Usman, M. Satisfaction Level of Tuberculosis Patients Regarding Their Access to TB Care and Prevention Services, Delivered Through a Public–Private Mix Model in Pakistan. Healthcare 2019, 7, 119.

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