Albana Fico1,2,6, Donika Bardhi1, Silvia Bino1,6, Hasan Hafizi2, Artan Mesi3, Sonela Xinxo4, Dritan Mema5, Blerina Kodra1
1Insitute of Public Health, Tirana, Albania;
2University Hospital “Shefqet Ndroqi”, Tirana, Albania;
3World Health Organization, Tirana, Albania;
4Project of Global Fund Albania, Tirana, Albania;
5Primary Health Care, Tirana, Albania;
6Faculty of Medicine, University of Medicine, Tirana, Albania.
Objective: The purpose of the Operational Planis to describe how to proceed with starting a pilot project on introduction of outpatient care and people centered care for patients with tuberculosis at the level of primary health care in Albania.
Methods: The selected pilot sites are 2 healthcare facilities in Kamza district of Tirana, and 2 healthcare facilities in the city of Lushnja. These facilities will start pilot activities, then all related data and information will be collected, analyzed and appropriate solution proposed. Also collected pilot results will be used for developing effective financing mechanism for support of drug management and patient care, support Primary Health Care facilities providing TB care and staff motivation system for staff that achieves successful treatment outcomes. The work should continue to scale up of outpatient care in Albania in accordance with pilot experience and solutions stated in the PHC guidelines.
Results: Detect more TB at PHC. Introduce a model of fully outpatient treatment by starting treatment of TB patients in outpatient settings. Patient centered ambulatory care to prevent and control MDR-TB in Albania.
Data collection and comprehensive evaluation of the effectiveness of outpatient treatment, followed by developing a package of recommendation for making, supplementing and amending existing regulations to expand the use of outpatient treatment across the country;
Establish what additional resources needed for successful rollout of the pilot.
Conclusions: It is foreseen that pilot experience of fully outpatient care in PHC settings would show that TB outpatient treatment has advantages: Has positive influence on patients’ adherence to treatment; Produce improvement of TB IC measures; and has increased commitment of PHC personnel, creation of more trusting relationship with patients.
Keywords: Albania, primary health care, TB.