Model/Site | PWP model | PNP model | Purely public model | |||
---|---|---|---|---|---|---|
Site 1 (N = 95) | Site 2 (N = 423) | Site 3 (N = 355) | Site 4 (N = 50) | Site 5 (N = 85) | Site 6 (N = 174) | |
Type of provision | Private workplace | Private workplace | Private non-governmental | Private non-governmental | Public | Public |
Type of facility | Occupational health clinic | Occupational health clinic | Clinic working closely with a local NGO | Clinic working closely with a local NGO | Health clinic | Health clinic |
Location (Province) | Near large rural town in North West | Near small rural town in Free State | Urban informal settlement in Western Cape | Rural informal settlement in Western Cape | Small rural town in Western Cape | Urban city area in Western Cape |
Population served | Low income workers, predominantly male | Low income workers, predominantly male | Low income residents, male and female adults, high unemployment | Low income residents, male and female adults, high unemployment | Low income residents, male and female adults, high unemployment | Low income residents, male and female adults, high unemployment |
TB incidence per 100 000 population* | 1 073 | 3 012 | 439 | 149 | 169 | 176 |
Approximated HIV prevalence in the study population** | (approx) 44% | (approx) 48% | (approx) 39% | (approx) 36% | (approx) 29% | (approx) 23% |
Overall TB service range† | Surveillance for TB, diagnosis and treatment | Surveillance for TB, diagnosis and treatment | Diagnosis, treatment, and social support | Diagnosis, treatment, and social support | Diagnosis and treatment | Diagnosis and treatment |
Case finding | Annual radiological screening; passive, and contact tracing | Annual radiological screening; passive, and contact tracing | Passive | Passive | Passive | Passive |
Diagnosis | Sputum smears; all patients with suspected pulmonary TB should have 1 sputum specimen submitted for culture | Sputum smears; all patients with suspected pulmonary TB should have 1 sputum specimen submitted for culture | Sputum smears; 1 sputum for culture if smear negative at diagnosis and unresponsive to a course of antibiotics | Sputum smears; 1 sputum for culture if smear negative at diagnosis and unresponsive to a course of antibiotics | Sputum smears; 1 sputum for culture if smear negative at diagnosis and unresponsive to a course of antibiotics | Sputum smears; 1 sputum for culture if smear negative at diagnosis and unresponsive to a course of antibiotics |
DOT system in place | Hospitalisation for the first 7 days followed by DOT by nurses in the occupational clinics | DOT by nurses in the occupational health clinics | DOT by nurses in the public clinic for the first 10 days followed by DOT by 'treatment supporters' in the community | DOT by nurses in the public clinic for the first 10 days followed by DOT by 'treatment supporters' in the community | DOT by nurses in the public clinic | DOT by nurses in the public clinic |