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Published on: August 11, 2008
Tuberculosis suspicion and knowledge among private and public general practitioners: Questionnaire Based Study in
Abdullah A Al-Maniri1, Omar A Al-Rawas, Fatmah Al-Ajmi
1Department of Public Health Sciences, Division of International Health (IHCAR), Karolinska Institutet, Sweden. abdullah.almaniri@ki.se
BMC Public Health
|May 27, 2008
Summary
General practitioners (GPs) in Oman show low suspicion and knowledge of tuberculosis (TB), especially in the private sector. Enhanced training and a public-private mix strategy are crucial for improving TB control.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Medical Education
Background:
- Early detection of smear-positive tuberculosis (TB) cases relies on primary care physicians' suspicion.
- Smear microscopy is a key diagnostic tool, but its effectiveness is limited by physician awareness.
Purpose of the Study:
- To assess and compare TB suspicion and knowledge levels among private and public sector general practitioners (GPs) in Muscat Governorate, Oman.
- To identify potential gaps in TB diagnostic acumen among primary care physicians.
Main Methods:
- A cross-sectional study utilizing two questionnaires administered to private and public GPs.
- Questionnaires included demographic information, 10 clinical vignettes (TB and non-TB cases), and questions on TB diagnosis, treatment, and management.
- TB suspicion and knowledge scores were calculated and analyzed.
Main Results:
- 257 GPs participated; 154 were from the private sector.
- Private GPs demonstrated significantly lower TB suspicion and knowledge scores compared to public GPs.
- Only 37.7% of all GPs considered TB among the top three diagnoses for TB vignettes.
Conclusions:
- Omani GPs, particularly those in the private sector, exhibit inadequate TB suspicion and knowledge.
- Implementing targeted GP training programs and a Private Public Mix (PPM) strategy is essential for strengthening TB control efforts in Oman.
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