Do doctors in north-western Somalia follow the national guidelines for tuberculosis management? | Zendy

Bello Abdullahi Suleiman | Zendy; A. I. Houssein | Zendy; F. S. Mehta | Zendy; S. G. Hinderaker | Zendy

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Do doctors in north-western Somalia follow the national guidelines for tuberculosis management?

Author(s) -

Bello Abdullahi Suleiman,

A. I. Houssein,

F. S. Mehta,

S. G. Hinderaker

Publication year - 2003

Publication title -

eastern mediterranean health journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.442

H-Index - 47

eISSN - 1687-1634

pISSN - 1020-3397

DOI - 10.26719/2003.9.4.789

Subject(s) - medicine , tuberculosis , family medicine , regimen , sputum , private sector , tuberculosis control , cross sectional study , private practice , pediatrics , surgery , pathology , economic growth , economics

A cross-sectional study assessed the knowledge and practices of registered practitioners in management of tuberculosis [TB] in north-western Somalia. Of 100 registered doctors, 53 were interviewed. Of these, 32 [64%] had treated TB patients during the previous year, but only 1 had notified the authorities, 33 [66%] knew the most important symptoms and 32 [64%] identified sputum smear microscopy as the most important diagnostic test. Only 4 doctors prescribed the correct regimen and only 7 advocated direct observation. Suboptimal knowledge was more common among doctors working in private practice [relative risk: 2.1; 95% CI: 1.1-4.3]. Patients are being treated in the private sector, but few doctors follow national treatment guidelines. Training in diagnosis and case management is needed to improve TB control in Somalia

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