Items tagged with TB programs
It’s been a few years but I clearly remember a visit to a chest ward in a hospital in Patna. Tuberculosis patients, their faces emaciated, lay on their beds, staring, coughing, in despair. These impoverished people had spent years and almost all of their savings on their treatment. A few of them, I was told by the hospital staff, had been abandoned, as their families could no longer afford the treatment.
Nigerian leaders must demonstrate political and financial commitment towards ending Tuberculosis (TB) in the country.
MANILA — Advocates working to address the tuberculosis burden in North Korea are calling on the Global Fund to Fight AIDS, Tuberculosis and Malaria to resume its grants in the country in the next two months to ensure thousands of patients don’t fall out of treatment. The call comes just a few months before the fund's sixth replenishment conference in October.
These guidelines advise how to address the challenges of: TB control and successful management of all clients presenting with TB, especially those co-infected with HIV as well as early detection of drug resistant TB. The strategies laid out build on achievements of the DOTS strategy, however call for additional strategies to better address constraints and challenges in TB control. Including such efforts as: strengthening health systems, alleviating poverty and advancing human rights. Specific local aspects include improving continuity of care,ensuring equitable access to services, and improving the care of those co-infected with TB and HIV.
These guidelines outline eligibility requirements and standard of procedure for prescribing Isoniazid Preventative Therapy (IPT) given an individual's TB and HIV status in South Africa. They are updated to include the current South African mandate which no longer requires the use of the tuberculin skin test to identify HIV infected people eligible for IPT. As authorized, "all HIV-infected people showing no signs or symptoms suggestive of active TB are eligible for TB prevention therapy." Also included are recommendations for regime dosage and duration as well as when and how to start.
These guidelines provide a strategic framework for what needs to be done to reduce the burden of TB in South Africa. The plan emphasizes implementing a coordinated multi-sectoral approach and highlights the need for: availability of adequate resources especially skilled human resources, sustained funding, partnership building, community mobilisation. Additionally, as stated in document "[f]ighting poverty to accelerate economic and social growth is critical for the success of this plan." It addresses the importance of having a functional integration of TB and HIV activities at facility level as well as priority infection control measures for MDR and XDR-TB.
These policy guidelines contain recommendations for how to manage mono resistant, poly resistant, multidrug-resistant (MDR) and extensive drug-resistant (XDR) tuberculosis patients in South Africa. The document focuses on the clinical management, referral mechanisms and models of care. It covers how to ensure comprehensive management of patients through psycho-social support as well as strategies for infection prevention and control in occupational health services for health care workers.
Botswana TB/HIV Policy Guidelines (document)
This strategic framework marries formerly separate mandates for HIV and TB management in to one, comprehensive collaboration. It provides a structure for how to: strengthen the health care system to respond effectively to both epidemics, reduce the burden of HIV/AIDS in TB patients, and establish a monitoring and evaluation system for the collaborative activities. Activities include: improving TB infection control in health care and other settings, enhancing TB/HIV diagnostic capacity, and harmonize data collection tools and local, national and international TB/HIV indicators.
These guidelines and manual lay out Swaziland's 5 year plan to combat the escalating drug resistant TB problem by incorporating a short-term plan in to the National TB Control Programme. Highlighted activities include: increasing TB case detection and treatment success rates with expanded DOTS coverage at national and lower levels; reducing the combined TB patient default and transfer out rates, and strengthening basic TB care and ensuring prompt diagnosis and treatment of drug resistant cases to cure existing cases and prevent further transmission.
This policy document responds to a demand from service providers and other partners for guidance on how to implement TB/HIV collaborative activities. It is complementary to and synergistic with the established core activities of tuberculosis and HIV/AIDS prevention and control programmes. The policy objectives include: establishing the mechanisms for sharing information and collaboration in planning, implementation, monitoring and evaluation of tuberculosis and HIV/AIDS programmes at all levels of health services; to screen all HIV patients for TB and provide preventive and curative care for those with latent and active TB respectively and to provide HIV screening to all TB patients and comprehensive HIV care services to those co-infected with HIV.
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