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This study was carried out to evaluate the use of directly observed treatment short course by private medicalpractitioners in the management of tuberculosis (TB) as a step towards achieving public-private mix strategy in Enugu,Nigeria. A self-administered questionnaire was used to collect data from all private practitioners practicing in EnuguNorth Local Government Area. Three hundred and forty doctors were studied and among these 64 (18.8%) managedmore than 5 tuberculosis cases every month. Most of the doctors, 310 (91.2%) based their diagnosis of tuberculosis onsputum acid-fast bacilli result. However, none of the private practitioners used the appropriate drug combination, dosageand duration. Most of the private practitioners (61.5%) did not follow up their tuberculosis patients and a largerpercentage (72.1%) did not have facilities for tracing defaulters. Although 321 (94.4%) of private practitioners would liketo be provided with information about national tuberculosis control programme (NTP) only 32 (26.2%) of them had everparticipated in a continuing medical education (CME) on tuberculosis. In conclusion, although private practitionersmanage a reasonable number of tuberculosis patients their management is often inappropriate and not in line with NTPguidelines. As part of the efforts to achieving a successful public-private mix in TB control, private practitioners shouldundergo CME on national tuberculosis control programme. It is important that the government should routinely monitorand evaluate the management of TB by the private practitioners. Keywords : Tuberculosis, private practitioners, treatment strategy, Nigeria Tanzania Health Research Bulletin Vol. 8 (2) 2006: pp. 86-89

tanzania health research bulletin

Evaluation of the implementation of directly observed treatment short course by private medical practitioners in the management of tuberculosis in Enugu, Nigeria