ArticleTransactions of the Royal Society of Tropical Medicine and Hygiene2019
Tuberculosis control activities in the private and public health sectors of Kenya from 2013 to 2017: how do they compare?
Article in Transactions of the Royal Society of Tropical Medicine and Hygiene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Malnutrition assessment methods in adult patients with tuberculosis: a systematic review.BMJ open · 2021Pooled it
- Enhancing TB case detection: a case study of Kenya's Global Fund-supported public-private mix.Public health action · 2026Article
- Determinants of tuberculosis treatment success among the working population in Malaysia.Singapore medical journal · 2026Article
- Engaging private providers to enhance tuberculosis detection and notification: evidence from TB REACH-Supported projects.BMC public health · 2025Article
- Challenges in engaging the private sector for tuberculosis prevention and care in Nigeria: a mixed methods study.BMJ open · 2023Article
- Rethinking Public Private Mix (PPM) Performance in the Tuberculosis Program: How Is Care Seeking Impacting This Model in High TB Burden Countries?Healthcare (Basel, Switzerland) · 2022Article
- Reaching 95-95-95 targets: The role of private sector health facilities in closing the HIV detection gap-Kisumu Kenya, 2018.International journal of STD & AIDS · 2022Article
- Determinants of household catastrophic costs for drug sensitive tuberculosis patients in Kenya.Infectious diseases of poverty · 2021Article
- Assessing the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Selected Health Facilities in Nairobi, Kenya.Tropical medicine and infectious disease · 2021Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLarge numbers of tuberculosis (TB) patients seek care from private for-profit providers. This study aimed to assess and compare TB control activities in the private for-profit and public sectors in Kenya between 2013 and 2017.
methodsWe conducted a retrospective cross-sectional study using routinely collected data from the National Tuberculosis, Leprosy and Lung Disease Program.
resultsOf 421 409 patients registered and treated between 2013 and 2017, 86 894 (21%) were from the private sector. Data collection was less complete in the private sector for nutritional assessment and follow-up sputum smear examinations (p<0.001). The private sector notified less bacteriologically confirmed TB (43.1% vs 52.6%; p<0.001) and had less malnutrition (body mass index <18.5 kg/m2; 36.4% vs 43.3%; p<0.001) than the public sector. Rates of human immunodeficiency virus (HIV) testing and antiretroviral therapy initiation were >95% and >90%, respectively, in both sectors, but more patients were HIV positive in the private sector (39.6% vs 31.6%; p<0.001). For bacteriologically confirmed pulmonary TB, cure rates were lower in the private sector, especially for HIV-negative patients (p<0.001). The private sector had an overall treatment success of 86.3% as compared with the public sector at 85.7% (p<0.001).
conclusionsThe private sector is performing well in Kenya although there are programmatic challenges that need to be addressed.
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