Minority Infant Death Rate Is Down Drug And Alcohol Treatment Success Rate Is Up DSHS Scorecard 2003 Results

2003 ◽  
Author(s):  
2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Ni Wang ◽  
Lei Guo ◽  
Hemant Deepak Shewade ◽  
Pruthu Thekkur ◽  
Hui Zhang ◽  
...  

Abstract Background In China, an indigenously developed electronic medication monitor (EMM) was designed and used in 138 counties from three provinces. Previous studies showed positive results on accuracy, effectiveness, acceptability, and feasibility, but also found some ineffective implementations. In this paper, we assessed the effect of implementation of EMMs on treatment outcomes. Methods The longitudinal ecological method was used at the county level with aggregate secondary programmatic data. All the notified TB cases in 138 counties were involved in this study from April 2017 to June 2019, and rifampicin-resistant cases were excluded. We fitted a multilevel model to assess the relative change in the quarterly treatment success rate with increasing quarterly EMM coverage rate, in which a mixed effects maximum likelihood regression using random intercept model was applied, by adjusting for seasonal trends, population size, sociodemographic and clinical characteristics, and clustering within counties. Results Among all 69 678 notified TB cases, the treatment success rate was slightly increased from 93.5% [95% confidence interval (CI): 93.0–94.0] in second quarter of 2018 to 94.9% (95% CI: 94.4–95.4) in second quarter of 2019 after implementing EMMs. There was a statistically significant effect between quarterly EMM coverage and treatment success rate after adjusting for potential confounders (P = 0.0036), increasing 10% of EMM coverage rate will lead to 0.2% treatment success rate augment. Besides, an increase of 10% of elderly or bacteriologically confirmed TB will lead to a decrease of 0.4% and 0.9% of the treatment success rate. Conclusions Under programmatic settings, we found a statistically significant effect between increasing coverage of EMM and treatment success rate at the county level. More prospective studies are needed to confirm the effect of using EMM on TB treatment outcomes. We suggest performing operational research on EMMs that provides real-time data under programmatic conditions in the future.


2009 ◽  
Vol 135 (3) ◽  
pp. 274-275 ◽  
Author(s):  
Guilherme Janson ◽  
Fabrício Pinelli Valarelli ◽  
Rodrigo Hermont Cançado ◽  
Marcos Roberto de Freitas ◽  
Arnaldo Pinzan

1996 ◽  
Vol 14 (4) ◽  
pp. 197-198
Author(s):  
Haworth Continuing Features Submission

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249369
Author(s):  
Endrias Markos Woldesemayat ◽  
Zewtir Azeze

Background Tuberculosis (TB) is one of the major public health problems in Ethiopia. Determining treatment outcome of TB cases could help to understand the effectiveness of TB control efforts. The objective of this study was to assess TB treatment outcome and associated factors and determine the risk factors of death among TB cases who were on Directly Observed Treatment Short course (DOTS). Methodology We analyzed a retrospective data for TB cases who were on DOTS at Dilla Referral Hospital from July 2011- June 2016. The study population was TB cases with known HIV status and whose treatment outcome was evaluated at the Hospital. Data were entered, cleaned and analyzed using statistical package SPSS for windows, version 20. Result Out of 899 registered TB cases, 731 included in this analysis. Of these cases, 424 (58.0%) were male and 334 (45.7%) were in the age group of below 25 years. Treatment success rate of TB was 675 (92.3%) and death rate was 18 (2.5%). Treatment outcome showed statistically significant variation by HIV status (P < 0.001). HIV status of the TB cases and pretreatment weight were associated with TB treatment outcome. HIV status of the TB cases was associated with death of the TB cases (Adjusted Odds Ratio (AOR) 5.0; CI 95%: 1.8–13.5). Conclusion TB treatment success rate found in this study was high. Patient’s weight and HIV status were associated with treatment outcome. Moreover, HIV status predicted death of TB cases. Cautious treatment follow-up and defaulter tracing mechanisms for TB cases with these risk factors were suggested.


2021 ◽  
Author(s):  
◽  
Jaime Marie Conroy

<p>This study examined women’s experiences of drug and alcohol treatment in New Zealand, with a focus on Methadone Maintenance Treatment (MMT). The qualitative literature on the treatment experiences of substance-using women is scarce, especially in a New Zealand context, with the majority of literature being quantitative, male-focused, and lacking the female voice. Available literature suggests that substance-using women have unique needs and experiences which must be addressed and acknowledged in treatment for a long-lasting positive change. This thesis aims to explore the experiences of women who have or are attending substance use treatment in New Zealand and their recommendations for improving substance use treatment for women. Areas examined include the experience of stigma, connections and relationships in treatment, and the importance of knowledge. These factors culminate in an exploration of participants’ suggestions for improvement. The current study is qualitative, feminist-informed and employed the use of semi-structured interviews with 11 women who have been or are currently in treatment as well as two service providers. The data from these interviews was analysed using Thematic Analysis, finding that women in this study overall had positive experiences. However, there were several areas for improvement suggested by participants including a need for greater access to treatment options, particularly gender-sensitive, holistic approaches. A need for greater knowledge amongst service providers, especially General Practitioners (GPs), on how to treat problematic substance use and the available treatment options was also expressed. Women on MMT had similar, yet varied, experiences compared to those attending other treatments.</p>


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