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Changes in utilization of TB health services in Nepal
1Population and Family Health Sciences, Johns Hopkins University, Baltimore, Maryland 21030, USA.
Setting:
Nepal.
Objective:
To assess the impact of community mobilization and health worker training on tuberculosis (TB) health services utilization.
Design:
Questionnaire.
Methods:
The Japan International Cooperation Agency and the Nepal Ministry of Health launched a set of interventions to increase awareness and availability of treatment at government facilities. In 2001 and 2003, a questionnaire was administered to TB patients.
Results:
In 2001-2002, 77.3% of women and 80.0% of men with TB symptoms consulted at government facilities, compared to 30% of men and 32% of women in 1997-1999.
Conclusion:
In the absence of any secular causes, this change can be attributed to the increasing community awareness of availability and quality of DOTS.
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