Table 4 Management by private practitioners of children with presumptive tuberculosis, by age groups, in 12 selected districts in Pakistan, 2016
Practice of private health care providers | Total | 0–4 years | 5-11 years | 12-14 years | p-value | |
|---|---|---|---|---|---|---|
n(%) | n(%) | n(%) | n(%) | |||
Presumptive child TB | Â | 6519 | 1691 | 3214 | 1614 | Â |
Diagnosed TB | All | 5193 (79.7) | 1564 (92.4) | 2545 (79.2) | 1084 (67.2) | < 0.0001 |
Bacteriologically positive | 498 (7.6) | 68 (4.0) | 204 (6.3) | 226 (14.0) | ||
Clinically diagnosed | 4695 (72.0) | 1496 (88.5) | 2341 (72.8) | 858 (53.1) | ||
Notified | Notified to NTP | 187 (2.9) | 35 (2.1) | 90 (2.8) | 62 (3.8) | < 0.0001 |
Investigation practices | Tuberculin Skin/PPD testing | 219 (3.4) | 45 (2.7) | 112 (3.5) | 62 (3.8) | 0.1464 |
Sputum Smear | 1875 (28.8) | 242 (14.3) | 910 (28.3) | 723 (44.8) | < 0.0001 | |
X-ray | 3005 (46.1) | 683 (40.4) | 1499 (46.6) | 823 (51.0) | < 0.0001 | |
X-pert test | 324 (5.0) | 34 (2.0) | 146 (4.5) | 144 (8.9) | < 0.0001 | |
Granuloma/Histopathology | 837 (12.8) | 175 (10.4) | 406 (12.6) | 256 (15.9) | < 0.0001 | |
Culture | 152 (2.3) | 13 (0.8) | 73 (2.3) | 66 (4.1) | < 0.0001 | |
Number of tests done* | Only clinical assessment | 2559 (39.3) | 842 (49.8) | 1219 (37.9) | 498 (30.9) | < 0.0001 |
1 test | 2217 (34.01) | 574 (33.9) | 1165 (36.3) | 478 (29.6) | ||
2 tests | 1270 (19.5) | 223 (13.2) | 617 (19.2) | 430 (26.6) | ||
3 tests or more | 473 (7.3) | 52 (3.1) | 213 (6.6) | 208 (12.9) | ||
Management practices | Referred for TB diagnosis | 3121 (47.9) | 842 (49.8) | 1578 (49.1) | 701 (43.4) | < 0.0001 |
Diagnosed and referred | 2443 (37.5) | 494 (29.2) | 1293 (40.2) | 656 (40.6) | ||
Treated | 955 (14.6) | 355 (21.0) | 343 (10.7) | 257 (15.9) | ||
Place of referral (n = 5564) | District TB Centre (NTP) | 3812 (68.5) | 832 (62.3) | 2006 (69.9) | 974 (71.8) | < 0.0001 |
Private laboratory | 1190 (21.4) | 388 (29.0) | 561 (19.5) | 241 (17.8) | ||
Private specialist hospital/GP | 562 (10.1) | 116 (8.7) | 304 (10.6) | 142 (10.5) | ||