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Article

Enhanced Private Sector Engagement for Tuberculosis Diagnosis and Reporting through an Intermediary Agency in Ho Chi Minh City, Viet Nam

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Friends for International TB Relief, Ha Noi 100000, Vietnam
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Interactive Research and Development, Singapore 189677, Singapore
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Pham Ngoc Thach Hospital, Ho Chi Minh City 700000, Vietnam
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Viet Nam National Lung Hospital, Ha Noi 100000, Vietnam
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Liverpool School of Tropical Medicine, Department of Clinical Sciences, Liverpool L3 5QA, UK
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BNMT Nepal, Lazimpat, Ward No. 2, Kathmandu 44600, Nepal
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Karolinska Institutet, Department of Public Health Sciences, 171 77 Solna, Sweden
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Stop TB Partnership, 1218 Geneva, Switzerland
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Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2020, 5(3), 143; https://doi.org/10.3390/tropicalmed5030143
Received: 31 July 2020 / Revised: 31 August 2020 / Accepted: 1 September 2020 / Published: 14 September 2020
Under-detection and -reporting in the private sector constitute a major barrier in Viet Nam’s fight to end tuberculosis (TB). Effective private-sector engagement requires innovative approaches. We established an intermediary agency that incentivized private providers in two districts of Ho Chi Minh City to refer persons with presumptive TB and share data of unreported TB treatment from July 2017 to March 2019. We subsidized chest x-ray screening and Xpert MTB/RIF testing, and supported test logistics, recording, and reporting. Among 393 participating private providers, 32.1% (126/393) referred at least one symptomatic person, and 3.6% (14/393) reported TB patients treated in their practice. In total, the study identified 1203 people with TB through private provider engagement. Of these, 7.6% (91/1203) were referred for treatment in government facilities. The referrals led to a post-intervention increase of +8.5% in All Forms TB notifications in the intervention districts. The remaining 92.4% (1112/1203) of identified people with TB elected private-sector treatment and were not notified to the NTP. Had this private TB treatment been included in official notifications, the increase in All Forms TB notifications would have been +68.3%. Our evaluation showed that an intermediary agency model can potentially engage private providers in Viet Nam to notify many people with TB who are not being captured by the current system. This could have a substantial impact on transparency into disease burden and contribute significantly to the progress towards ending TB. View Full-Text
Keywords: tuberculosis; private sector; intermediary agency; referral; notification; Viet Nam tuberculosis; private sector; intermediary agency; referral; notification; Viet Nam
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MDPI and ACS Style

Vo, L.N.Q.; Codlin, A.J.; Huynh, H.B.; Mai, T.D.T.; Forse, R.J.; Truong, V.V.; Dang, H.M.T.; Nguyen, B.D.; Nguyen, L.H.; Nguyen, T.D.; Nguyen, H.B.; Nguyen, N.V.; Caws, M.; Lonnroth, K.; Creswell, J. Enhanced Private Sector Engagement for Tuberculosis Diagnosis and Reporting through an Intermediary Agency in Ho Chi Minh City, Viet Nam. Trop. Med. Infect. Dis. 2020, 5, 143. https://doi.org/10.3390/tropicalmed5030143

AMA Style

Vo LNQ, Codlin AJ, Huynh HB, Mai TDT, Forse RJ, Truong VV, Dang HMT, Nguyen BD, Nguyen LH, Nguyen TD, Nguyen HB, Nguyen NV, Caws M, Lonnroth K, Creswell J. Enhanced Private Sector Engagement for Tuberculosis Diagnosis and Reporting through an Intermediary Agency in Ho Chi Minh City, Viet Nam. Tropical Medicine and Infectious Disease. 2020; 5(3):143. https://doi.org/10.3390/tropicalmed5030143

Chicago/Turabian Style

Vo, Luan N.Q., Andrew J. Codlin, Huy B. Huynh, Thuy D.T. Mai, Rachel J. Forse, Vinh V. Truong, Ha M.T. Dang, Bang D. Nguyen, Lan H. Nguyen, Tuan D. Nguyen, Hoa B. Nguyen, Nhung V. Nguyen, Maxine Caws, Knut Lonnroth, and Jacob Creswell. 2020. "Enhanced Private Sector Engagement for Tuberculosis Diagnosis and Reporting through an Intermediary Agency in Ho Chi Minh City, Viet Nam" Tropical Medicine and Infectious Disease 5, no. 3: 143. https://doi.org/10.3390/tropicalmed5030143

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