Table 5 Management by private practitioners of children with presumptive tuberculosis, by gender, in 12 selected districts in Pakistan, 2016
Practice of private health care providers | Total | Female | Male | p-value | |
|---|---|---|---|---|---|
n(%) | n(%) | n(%) | |||
Presumptive child TB | Â | 6519 | 2320 | 4199 | Â |
Diagnosed TB | All | 5193 (79.7) | 1869 (80.6) | 3324 (79.2) | < 0.0001 |
Bacteriologically positive | 498 (7.6) | 244 (10.5) | 254 (6.0) | ||
Clinically diagnosed | 4695 (72.0) | 1625 (70.0) | 3070 (73.1) | ||
Notified | Notified to NTP | 187 (2.9) | 113 (4.9) | 74 (1.8) | < 0.0001 |
Investigation practices | Tuberculin Skin/PPD testing | 219 (4.7) | 106 (4.6) | 113 (2.7) | < 0.0001 |
Sputum Smear | 1875 (28.8) | 830 (35.8) | 1045 (24.9) | < 0.0001 | |
X-ray | 3005 (46.1) | 1127 (48.6) | 1878 (44.7) | 0.003 | |
X-pert test | 324 (5.0) | 154 (6.6) | 170 (4.1) | < 0.0001 | |
Granuloma/Histopathology | 837 (12.8) | 331 (14.3) | 506 (12.1) | 0.010 | |
Culture | 152 (2.3) | 67 (2.9) | 85 (2.0) | 0.03 | |
Number of tests done* | Only clinical assessment | 2559 (39.3) | 844 (36.4) | 1715 (40.8) | < 0.0001 |
1 test | 2217 (34.01) | 699 (30.1) | 1518 (36.1) | ||
2 test | 1270 (19.5) | 543 (23.4) | 727 (17.3) | ||
3 tests or more | 473 (7.3) | 234 (10.1) | 239 (5.7) | ||
Management practices | Referred for TB diagnosis | 3121 (47.9) | 997 (43.0) | 2124 (50.6) | < 0.0001 |
Diagnosed and referred | 2443 (37.5) | 857 (36.9) | 1586 (37.8) | ||
Treated | 955 (14.6) | 466 (20.1) | 489 (11.7) | ||
Place of referral (n = 5564) | District TB Centre (NTP) | 3812 (68.5) | 1260 (68.0) | 2552 (68.8) | 0.136 |
Private laboratory | 1190 (21.4) | 386 (20.8) | 804 (21.7) | ||
Private specialist hospital/GP | 562 (10.1) | 208 (11.2) | 354 (9.5) | ||