Effectiveness of tuberculosis control programmes in prisons, Barcelona 1987-2000

T. Rodrigo, J. A. Caylà, P. García de Olalla, M. T. Brugal, J. M. Jaǹ, R. Guerrero, A. Marco, V. Martin

Research output: Contribution to journalArticle

Abstract

SETTING: Different bodies have emphasised the need for prisons to implement and evaluate their own tuberculosis prevention and control programmes (TPCP), with the aims of evaluating TPCP in Barcelona prisons and obtaining conclusions that would allow any necessary modifications to be introduced to improve their effectiveness. METHODS: An assessment was carried out for the period 1987-2000, using the exhaustive retrospective method. The quantitative indicators used were defined in the same way as those employed by the Barcelona TPCP, which were taken as the gold standard. The assessment studied trends in the indicators and evaluated the impact by comparing the results with the gold standard. RESULTS: Statistically significant trends (P < 0.0001) were found for incidence rates, infection prevalence, treatment adherence rates among smear-positive cases and percentage of cases on directly observed treatment (DOT). When impact was assessed, only the decline in the average annual incidence rate (25.2%) and desired rates of adherence among smear-positives (≥95% since 1993) achieved the proposed objectives. CONCLUSIONS: The observed decline in incidence shows that when programmes are based on reducing diagnostic delay, controlling adherence using DOT and tracing contacts, tuberculosis control among the prisons is effective.

Original languageEnglish (US)
Pages (from-to)1091-1097
Number of pages7
JournalInternational Journal of Tuberculosis and Lung Disease
Volume6
Issue number12
StatePublished - Dec 1 2002

Keywords

  • Effectiveness
  • Evaluation
  • Prisons
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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    Rodrigo, T., Caylà, J. A., García de Olalla, P., Brugal, M. T., Jaǹ, J. M., Guerrero, R., Marco, A., & Martin, V. (2002). Effectiveness of tuberculosis control programmes in prisons, Barcelona 1987-2000. International Journal of Tuberculosis and Lung Disease, 6(12), 1091-1097.