Evidence map›Paper›PMID 35848796›Full record

ArticleGlobal health action2022

Geographic accessibility to childhood tuberculosis care in Pakistan.

Aashifa Yaqoob, Muhammad Rizwan Alvi, Razia Fatima, Hina Najmi, Zia Samad, Nadia Nisar, Anwar Ul Haq, Basharat Javed, Abdul Wali Khan, Sven Gudmund Hinderaker

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Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Aashifa YaqoobResearch Unit, Common Management Unit [TB, HIV/AIDS & Malaria], Islamabad, Pakistan.ORCID 0000-0002-5680-1507
Muhammad Rizwan AlviDigital Security & Intelligence, Inbox Business Technologies, Islamabad, Pakistan.
Razia FatimaResearch Unit, Common Management Unit [TB, HIV/AIDS & Malaria], Islamabad, Pakistan.
Hina NajmiMaternal Newborn and child Health, Health Services Academy, Islamabad, Pakistan.
Zia SamadM & E and Surveillance, Common Management Unit (TB, HIV/AIDS & Malaria), Islamabad, Pakistan.
Nadia NisarInternational Health Regulations Strengthening project, Public Health England, Islamabad, Pakistan.
Anwar Ul HaqDirectorate of Central Health, Ministry of National Health Services Regulation & Coordination, Government of Pakistan, Islamabad, Pakistan.
Basharat JavedM & E and Surveillance, Common Management Unit (TB, HIV/AIDS & Malaria), Islamabad, Pakistan.
Abdul Wali KhanNational TB Control Program, Common Management Unit (TB, HIV/AIDS & Malaria), Islamabad, Pakistan.
Sven Gudmund HinderakerDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
University of Bergen · NOGovernment of Pakistan · PKHealth Services Academy · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) in children is difficult to detect and often needs specialists to diagnose; the health system is supposed to refer to higher level of health care when diagnosis is not settled in a sick child. In Pakistan, the primary health care level can usually not diagnose childhood TB and will refer to a paediatricians working at a secondary or tertiary care hospital. We aimed to determine the health services access to child TB services in Pakistan.

objectiveWe aimed to determine the geographical access to child TB services in Pakistan.

methodWe used geospatial analysis to calculate the distance from the nearest public health facility to settlements, using qGIS, as well as population living within the World Health Organization's (WHO) recommended 5-km distance.

resultAt primary health care level, 14.1% of facilities report child TB cases to national tuberculosis program and 74% of the population had geographical access to general primary health care within 5-km radius. To secondary- and tertiary-level health care, 33.5% of the population had geographical access within 5-km radius. The average distance from a facility for diagnosis of childhood TB was 26.3 km from all settlement to the nearest child TB sites. The population of one province (Balochistan) had longer distances to health care services.

conclusionWith fairly good coverage of primary health care but lower coverage of specialist care for childhood TB, the health system depends heavily on a good referral system from the communities.

Indexed as

TuberculosisChildGeographyHealth FacilitiesHealth Services AccessibilityHumansPakistanReferral and Consultationaccesschildrendistancehealth facilitiespublic sectorsecondarysettlementstertiary care levelTuberculosis

Identifiers

PMID35848796
PMCPMC9297715
OpenAlexW4285728565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.