Outputs and Outcome of the Pharmacy Directly-Observed Treatment Short-Course (DOTS) Initiative in the Philippines.

Kim L Cochon; Amiel Nazer C Bermudez; Diana Dalisay A Orolfo; Jonathan P Guevarra; Michelle D Avelino; Azar G Agbon; Jorel A Manalo; Eden C Mendoza; Ronald Allan M Fabella; Carl Abelardo T Antonio

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Outputs and Outcome of the Pharmacy Directly-Observed Treatment Short-Course (DOTS) Initiative in the Philippines.

Author: Kim L. COCHON ¹ ; Amiel Nazer C. BERMUDEZ ¹ ; Diana Dalisay A. OROLFO ² ; Jonathan P. GUEVARRA ³ ; Michelle D. AVELINO ² ; Azar G. AGBON ² ; Jorel A. MANALO ⁴ ; Eden C. MENDOZA ⁵ ; Ronald Allan M. FABELLA ⁵ ; Carl Abelardo T. ANTONIO ^{4
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Author Information

1. Department of Epidemiology and Biostatistics, College of Public Health, University of the Philippines Manila, Manila, Philippines
2. College of Public Health, University of the Philippines Manila, Manila, Philippines
3. Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, Manila, Philippines
4. Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
5. Philippine Business for Social Progress, Manila, Philippines
6. Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
Publication Type:Journal Article
Keywords: Directly Observed Treatment Short Course (dots); Innovations And Multi-sectoral Partnerships To Achieve Control Of Tb (impact); Evaluation
MeSH: Tuberculosis; Philippines
From: Philippine Journal of Health Research and Development 2019;23(1):48-53
CountryPhilippines
Language:English
Abstract:
OBJECTIVE: This was an evaluation of the effectiveness of the technical assistance package for the Pharmacy DOTS Initiative (PDI) in the Philippines.
METHODOLOGY: Five pre-identified implementation sites were included in the evaluation. A survey was conducted to ascertain pharmacies currently implementing PDI and the number of TB presumptive cases referred by these pharmacies. Data abstraction was performed to determine the change in the number of TB cases seen by local TB programs after its implementation.
RESULTS: Findings revealed that the proportion of pharmacies actively referring presumptive TB patients is not significantly lower than 60% (p=0.1892). Furthermore, results showed that the average monthly referrals were not statistically lower than 20 clients per month (p=0.9159). Nevertheless, interrupted time series analysis found no statistically significant immediate effects (p=0.516) and long-term effects (p=0.3673) on the total number of new TB cases identified after the PDI was implemented in the year 2014.
CONCLUSION: The PDI was able to achieve outputs related to pharmacy engagement and referral of TB presumptive clients. However, the PDI was unsuccessful in increasing the actual number of TB presumptive cases seen by local TB programs in its implementation sites.
Full text:PJHRD 5.pdf