Situation analysis of childhood tuberculosis in tertiary hospital public health region 10 and 12, fscal year 2007-2009

Abstract

The objective of this descriptive study was to analyse childhood tuberculosis situation in 9 tertiary public health hospitals in region 10 and 12. Medical records of childhood tuberculosis age 0-14 years between the fscal year 2007 and 2009 were retrospective reviewed in term of the number of cases, dianosis,
medical regimen, laboratory result and treatment outcome. The results revealed that out of 168 childhood tuberculosis cases, 82.70 percent has been diagnosed by pediatricians. Most of the patients could not collect sputum for laboratory testing . From 168 cases, 65 cases were tested for AFB smear (38.69%) and 9 cases were smear positive (13.85%) 52 cases were smear negative (80%). Category I and Category III standard regimen were used in 95.84% of cases .Overall treatment success rate was 71.79 % and there was 1.28 % mortality rate. However, the default and transfer out with no results of treatment was high up to 14.10%. Only 4 cases (2.4%) were systematically reported from secondary and tertiary hospitals during the year of study reviewed.Conclusion: the policy should accelerate the implementation of the Stop TB Strategy including in childhood tuberculosis. To improve the quality of service, diagnosis, treatment and reporting system to achieve the standard. The collaboration and coordinating network between all stakeholders should be strengthened for future plan for effective TB control.