COVID-19 and Tuberculosis Services in Private Health Sectors
Author Information
Author(s): Vasquez Nathaly Aguilera, Oga-Omenka Charity, Yellappa Vijayashree, Lestari Bony Wiem, Sassi Angelina, Sheokand Surbhi, Olusola-Faleye Bolanle, Huria Lavanya, Brubacher Laura Jane, Baruwa Elaine, Alisjahbana Bachti, Pai Madhukar
Primary Institution: McGill International TB Centre, Montreal, Canada
Hypothesis
How did COVID-19 control measures affect tuberculosis care services in the private healthcare sectors of India, Indonesia, and Nigeria?
Conclusion
The study highlights significant disruptions in tuberculosis services due to COVID-19, but also reveals adaptations and the importance of public-private partnerships for future health system resilience.
Supporting Evidence
- Policymakers reported a decrease in TB case detection due to fear of COVID-19.
- Private health sectors faced significant operational challenges during the pandemic.
- Telemedicine and home visits were adopted as adaptations to maintain TB care.
- Public-private partnerships were emphasized as crucial for healthcare service delivery.
- COVID-19 testing diverted resources away from TB diagnostic services.
Takeaway
This study shows that COVID-19 made it harder for people to get tuberculosis care, but it also helped hospitals and clinics find new ways to work together and keep helping patients.
Methodology
Qualitative, in-depth interviews with 33 national and sub-national policymakers across three countries.
Potential Biases
Potential bias from relying solely on policymakers' perspectives, which may not fully represent patient experiences.
Limitations
The study relied on virtual interviews, which may introduce recall bias and geographical constraints.
Participant Demographics
Policymakers from government, NGOs, and academic institutions in Nigeria, Indonesia, and India.
Digital Object Identifier (DOI)
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