Tuberculosis care cascade for the indigenous population in Colombia: an operational research study
Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indig...
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ftdoajarticles:oai:doaj.org/article:e22db0a37e224d50ad16e989b2986986 2023-05-15T15:10:52+02:00 Tuberculosis care cascade for the indigenous population in Colombia: an operational research study Jhon Edwin Polanco-Pasaje Iader Rodríguez-Márquez Kelly Yoana Tello-Hoyos Pilar Torres-Pereda Bertha Leonor Guzmán-Salazar Freddy Pérez 2021-02-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.20 https://doaj.org/article/e22db0a37e224d50ad16e989b2986986 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53281 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.20 https://doaj.org/article/e22db0a37e224d50ad16e989b2986986 Revista Panamericana de Salud Pública, Vol 45, Iss 20, Pp 1-9 (2021) tuberculosis indigenous population health services indigenous health care quality access and evaluation colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.20 2022-12-31T10:28:36Z Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indigenous population of Cauca was evaluated. Data were obtained from secondary sources and all cases diagnosed from 1 January 2016 to 31 December 2017 were included. In the second phase, semi-structured interviews were done with nine program coordinators and 11 nursing auxiliaries to explain identified gaps. Absolute and percentage values were estimated for each of the steps and gaps in the care cascade. Quantitative and qualitative results were triangulated. Results. In 2016 and 2017, an estimated 202 patients with respiratory symptoms were expected to be positive and 106 cases of pulmonary tuberculosis were reported among the indigenous population of the department of Cauca. A gap of 47.5% was found for diagnosis, since only 52.5% of subjects were diagnosed in health services. This gap was explained by poor quality of samples and flawed smear techniques; flaws in correct identification of patients with respiratory symptoms; limited access to diagnostic methods, such as culture and molecular tests; and limited training and high turnover of personnel in health service provider institutions. Conclusions. The tuberculosis control program should focus actions on bridging the gap in case detection in the indigenous population. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
tuberculosis indigenous population health services indigenous health care quality access and evaluation colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
tuberculosis indigenous population health services indigenous health care quality access and evaluation colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jhon Edwin Polanco-Pasaje Iader Rodríguez-Márquez Kelly Yoana Tello-Hoyos Pilar Torres-Pereda Bertha Leonor Guzmán-Salazar Freddy Pérez Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
topic_facet |
tuberculosis indigenous population health services indigenous health care quality access and evaluation colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indigenous population of Cauca was evaluated. Data were obtained from secondary sources and all cases diagnosed from 1 January 2016 to 31 December 2017 were included. In the second phase, semi-structured interviews were done with nine program coordinators and 11 nursing auxiliaries to explain identified gaps. Absolute and percentage values were estimated for each of the steps and gaps in the care cascade. Quantitative and qualitative results were triangulated. Results. In 2016 and 2017, an estimated 202 patients with respiratory symptoms were expected to be positive and 106 cases of pulmonary tuberculosis were reported among the indigenous population of the department of Cauca. A gap of 47.5% was found for diagnosis, since only 52.5% of subjects were diagnosed in health services. This gap was explained by poor quality of samples and flawed smear techniques; flaws in correct identification of patients with respiratory symptoms; limited access to diagnostic methods, such as culture and molecular tests; and limited training and high turnover of personnel in health service provider institutions. Conclusions. The tuberculosis control program should focus actions on bridging the gap in case detection in the indigenous population. |
format |
Article in Journal/Newspaper |
author |
Jhon Edwin Polanco-Pasaje Iader Rodríguez-Márquez Kelly Yoana Tello-Hoyos Pilar Torres-Pereda Bertha Leonor Guzmán-Salazar Freddy Pérez |
author_facet |
Jhon Edwin Polanco-Pasaje Iader Rodríguez-Márquez Kelly Yoana Tello-Hoyos Pilar Torres-Pereda Bertha Leonor Guzmán-Salazar Freddy Pérez |
author_sort |
Jhon Edwin Polanco-Pasaje |
title |
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
title_short |
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
title_full |
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
title_fullStr |
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
title_full_unstemmed |
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
title_sort |
tuberculosis care cascade for the indigenous population in colombia: an operational research study |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.20 https://doaj.org/article/e22db0a37e224d50ad16e989b2986986 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 20, Pp 1-9 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53281 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.20 https://doaj.org/article/e22db0a37e224d50ad16e989b2986986 |
op_doi |
https://doi.org/10.26633/RPSP.2021.20 |
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Revista Panamericana de Salud Pública |
container_volume |
45 |
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1 |
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