socio economic position in tb prevalence and access to services results from a population prevalence survey and a facility-based survey in bangladesh在结核患病率和社会经济地位对服务的访问结果从一个孟加拉国的人口患病率调查和医疗机构的一项调查.pdf

Socio Economic Position in TB Prevalence and Access to Services: Results from a Population Prevalence Survey and a Facility-Based Survey in Bangladesh 1 1 1 1 Shahed Hossain *, Mohammad Abdul Quaiyum , Khalequ Zaman , Sayera Banu , Mohammad 2 3 4 5 ¨ 6 Ashaque Husain , Mohammad Akramul Islam , Erwin Cooreman , Martien Borgdorff , Knut Lonnroth , Abdul Hamid Salim7, Frank van Leth5,8 1 International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B), Dhaka, Bangladesh, 2 National TB Control Programme (NTP), DGHS, Dhaka, Bangladesh, 3 Health Programme, BRAC, Dhaka, Bangladesh, 4 World Health Organization, Dhaka, Bangladesh, 5 Department of Global health, Academic Medical Centre, University of Amsterdam, Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands, 6 Stop TB Department, World Health Organization, Geneva, Switzerland, 7 Damien Foundation, Dhaka, Bangladesh, 8 KNCV Tuberculosis Foundation, The Hague, The Netherlands Abstract Background: In Bangladesh DOTS has been provided free of charge since 1993, yet information on access to TB services by different population group is not well documented. The objective of this study was to assess and compare the socio economic position (SEP) of actively detected cases from the community and the cases being routinely detected under National Tuberculosis Control Programme (NTP) in Bangladesh. Methods and Findings: SEP was assessed by validated asset item for each of the 21,427 households included in the national tuberculosis prevalence survey 2007–2009. A principal component analysis generated household scores and