IV-A. Referral for treatment |
“Unfortunately, the private sector refers patients to the Ministry of Health system for treatment because they don’t have the treatment regimens. It would be ideal to give the patient a week of treatment and instruct them to follow up at a nearby health center for monitoring, but that’s not something that we are currently doing.” (Interview 20, Private provider who had diagnosed TB in the past year)
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IV-B. Passive follow-up and lack of communication between sectors |
“Patients usually reach out to me... and update me on the progress of the tests and results or if they have been cleared. So it is the opposite - patients reach out to me rather than me reaching out to them.” (Interview 13, Private provider who had not diagnosed TB in the past year)
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IV-C. Regulatory TB policies |
“I am not familiar with any regulations in the private sector for TB. What I do know is that all TB cases should be referred to the nearest Ministry of Health facility.” (Interview 18, Private provider who had diagnosed TB in the past year)
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“There are private facilities that, depending on the level of complexity, are definitely capable of treating tuberculosis [...] They should treat tuberculosis, they are prepared, they even have their pulmonologist, and they have their areas. That is why this should be only reserved for the [more complex] clinics, because now they have to comply with new regulations.” (Interview 3, Private provider who had not diagnosed TB in the past year)
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IV-D. Resource limitations |
“And seeing it from the point of a private provider, I think it would be a bit difficult, financially speaking [to have a pulmonologist on standby in case we need one]. So, I am seeing it from the perspective of how much that would cost me.” (Interview 11, Private provider who had not diagnosed TB in the past year)
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