TB Dots

DOTS represents the best strategy for coordinating TB services within the broader health system, mobilizing wide support
at the operational level, reducing TB incidence, and preventing further drug resistance.

Ethics of TB Prevention, Care and Control: An Assessment Tool for National Tuberculosis Programmes

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In 2010, the World Health Organisation (WHO) released Guidance on Ethics of Tuberculosis Prevention, Care and Control.  This guidance is meant to address all dilemmas related to the rights of TB patients, the community, TB programmes, and health care workers in the management of TB patients. 

The purpose of this tool is for programmes to assess themselves on topics covered in the WHO guidelines.  The tool will assist programmes in identifying potential strengths and gaps in the ethical treatment of TB patients.

Ethics of TB Prevention, Care and Control: An Assessment Tool for National Tuberculosis Programmes

Undefined

In 2010, the World Health Organisation (WHO) released Guidance on Ethics of Tuberculosis Prevention, Care and Control.  This guidance is meant to address all dilemmas related to the rights of TB patients, the community, TB programmes, and health care workers in the management of TB patients. 

The purpose of this tool is for programmes to assess themselves on topics covered in the WHO guidelines.  The tool will assist programmes in identifying potential strengths and gaps in the ethical treatment of TB patients.

TB CARE II LAUNCHES COUNTRY PROGRAM IN SOUTH AFRICA FOR FY2015

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TB CARE II is excited to announce that it will be expanding its field support presence into South Africa for FY2015.  TB CARE II will build on the activities and approaches utilized by the USAID TB Program South Africa, also implemented by University Research Co., LLC (URC), which from 2009-2014 has supported the National Department of Health (NDOH) in improving early case detection, increasing access to diagnostics, ensuring treatment support for patients on TB treatment and ensuring that there is provision of appropriate and timely HIV care for TB patients and ART treatment for all TB/HIV

TB CARE II Bangladesh Celebrates Its Grantees in New Spotlight

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As a component of the project, TB CARE II Bangladesh supports nongovernmental, community based organizations (NGOs) in urban and rural areas with TB case notification rates below the national average to increase detection and management of TB and MDR TB services
and to improve community knowledge and awareness of TB and MDR TB. The geographic coverage varied under different waves of grants as indicated in the table below.Since April 2012, TB CARE II has supported 11 grantees for periods of one-to-two years each.

TB CARE II Bangladesh: Changing Lives of MDR TB Patients

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Improving management of Multi-Drug-resistant TB (MDR TB) is a special focus of the TB CARE II project. It is estimated that there are 3,800 MDR TB cases annually in Bangladesh. A large proportion of these cases remain undetected and untreated, potentially increasing the risk of infection in the community.
 
It is not possible to combat the threat of MDR TB without a synchronized effort to expand national capacity both for diagnosis and treatment. To this end, the TB CARE II project started two new interventions in 2012. The introduction of Gene Xpert technology has been helping a large number of suspected patients with correct and faster diagnosis of drug resistant TB. The community based approach for management has significantly reduced treatment delays by shortening hospital stays and allowing the patients extended time at home to complete their treatment.
 
These efforts resulted in a substantial increase in the enrolment of MDR TB patients in treatment in less than two years.
This booklet titled ‘Changing Lives of MDR TB Patients’ has been prepared to highlight the impact of MDR TB on patients and their families and to demonstrate the acievements that have been made in improving systems of care. The stories epitomize the trials and tribulations that transpire in the lives of MDR TB patients. We hope these stories will generate awareness about MDR TB and inspire readers to join our fight against TB.
 

TB CARE II - Synthesis Report on the Inclusion of TB in National Insurance Programs

National health insurance programs are increasingly being implemented in high burden TB countries.  The impact of these insurance programs on use of TB services is unclear.  NHI programs in high burden countries include a varying degree of integration of TB services, and there is a need to explore how the use of these mechanisms can increase universal coverage for TB patients. A study has been implemented by the USAID TB CARE II project to examine the package of services covered under NHI in the Philippines, India, Thailand, and Peru against the recommended TB services for diagnosis, treatment, and follow-up care. In the four countries, data collection teams conducted semi-structured interviews with national TB program managers, insurances providers, health providers, and TB-related community organizations. The study focused on large state-subsidized health insurance programs (including PhilHealth in the Philippines and the National Health Services Organization in Thailand). In India, the assessment focused on several insurance providers for different employment sectors in Rajasthan and Uttar Pradesh.
 
The findings revealed the impact of insurance programs on access to TB services, service quality, health seeking behaviour, coverage gaps, and health systems. Access to TB services increased for registered members in Thailand and Philippines, but not in India. Lack of information about the benefits of using in-program providers is a barrier in Peru and Philippines. Timely reimbursement is a key motivator for providers and delayed reimbursement to DOTS centers has been a barrier in the Philippines. Lack of coverage for indirect costs–transport, loss of wages, nutritional support needs – was a disincentive for seeking care in all countries, particularly for vulnerable populations. Coverage for MDR TB is a critical gap in all countries.
 
NHI programs have an overall positive impact on TB control when implemented in coordination with the NTP. Stronger emphasis is needed to design coverage packages to reinforce TB control objectives including closing coverage gaps and extending services to vulnerable populations.
 
To view the entire report please click here or see the attachment below.

Web-Based Training on TB for Private Medical Practicioners in Georgia

The USAID TB Prevention Project in Georgia collaborated with the Ministry of Health to develop and disseminate an online training package for medical and other health practitioners. The online training modules are designed to improve diagnosis, management, and referral of tuberculosis patients in accordance with national TB guidelines. The modules are intended to reinforce initiatives geared at encouraging stronger identification and management of TB by private doctors and nurses in Georgia.

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