Evidence map›Paper›PMID 39186706›Full record

ArticlePloS one2024

An approach to integrated management of diabetes in tuberculosis patients: Availability and readiness of the health facilities of Bangladesh.

Md Abdur Rafi, Senjuti Semanta, Tasnim Shahriar, Mohammad Jahid Hasan, Md Golam Hossain

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. A QuantiFERONInfection and drug resistance · 2026
    Article
  4. Article
4 · The record

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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

5 authors.

Md Abdur RafiPi Research Consultancy Center, Dhaka, Bangladesh.
Senjuti SemantaM Abdur Rahim Medical College, Dianjpur, Bangladesh.ORCID 0000-0002-0648-1525
Tasnim ShahriarKhulna Medical College, Khulna, Bangladesh.ORCID 0000-0001-8935-4996
Mohammad Jahid HasanPi Research Consultancy Center, Dhaka, Bangladesh.
Md Golam HossainDepartment of Statistics, University of Rajshahi, Rajshahi, Bangladesh.ORCID 0000-0002-3822-5489

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComorbidity of diabetes mellitus and tuberculosis (TB) is a major public health concern in low- and middle-income countries including Bangladesh. An integrated approach is required for adequate management of diabetes mellitus and TB. The objective of the present study was to investigate the availability and readiness of the TB care centers of Bangladesh toward diabetic patients' management.

methodsThe present study was conducted based on existing data obtained from the Bangladesh Health Facility Survey (BHFS) 2017. Data collected from a total of 303 facilities providing TB services were retrieved. The outcome variables of the present study were availability and readiness of the TB health facilities for providing diabetes mellitus service. Readiness was measured for four domains: staff and guidelines, equipment, diagnostic facility and basic medicine. The independent variables were: facility level, management authority and location of the facility. Binary and multiple logistic regression models were constructed for both the outcome variables (availability and readiness) to find out their predictors.

resultsServices for diabetes mellitus were available in 68% of the TB facilities while high readiness was present in 36% of the facilities. For domain-specific readiness index, readiness for the domains of staff and guidelines, equipment, diagnostic facility and basic medicine was reported in 46%, 96%, 38% and 25% facilities respectively. In the logistic regression model, availability of diabetes mellitus services was better in primary level (aOR 2.62, 95% CI 1.78-4.77) and secondary level (aOR 3.26, 95% CI 1.82-9.05) facilities than community facilities. Similarly, readiness of diabetes mellitus care was also better in these facilities (aOR 2.55, 95% CI 1.05-4.71 for primary and aOR 2.75, 95% CI 1.80-4.32 for secondary facilities). Besides, private TB facilities had better availability (aOR 2.84, 95% CI 1.75-5.89) and readiness (aOR 2.52, 95% CI 1.32-4.29) for diabetes mellitus care.

conclusionAvailability and readiness for providing diabetes mellitus services in TB care providing facilities in Bangladesh is inadequate.

Indexed as

Diabetes MellitusHealth FacilitiesTuberculosisBangladeshDelivery of Health Care, IntegratedHealth Services AccessibilityHumans

Identifiers

PMID39186706
PMCPMC11346952

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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.