TB disease occurs most often within the context of economic and social vulnerabilities, and patients receiving TB treatment frequently experience other psychological, social and economic problems that may interfere with their ability to complete treatment. An episode of TB may further exacerbate poverty or reduce a patient or family’s economic and social well-being, and even if cure is attained, the experience of TB can reinforce health and social disparities and
WORKSHOP ON SEPTEMBER 11-13, 2017 IN PRETORIA, SOUTH AFRICA The “Best Practices in DR-TB Community Care: Development of National Community-Based DR-TB Care Plans” workshop was held in Pretoria, South Africa on the 11 - 13 September 2017, as part of the USAID-funded TB CARE II project, managed by URC. This workshop presented current best practices in drug-resistant tuberculosis (DR-TB) community care and support, with the goal of developing
THE EXPERIENCE OF CATHERINE PELANI Access to health care services among rural, resource-poor people in low-income countries remains a major obstacle to TB control efforts. A critical factor is the need to improve access to diagnostic facilities, which in many rural areas double as TB treatment initiation and registration centers for TB patients. It is common for patients to travel over 50 kilometers to access TB treatment initiation services.
Following successful formation of three District TB/HIV committees in Nsanje, Phalombe and Machinga in November, TB CARE II facilitated the establishment of four more committees in Mzimba, Mangochi, Neno and Zomba districts. A total of 61 Health Care Workers (45 males, 16 females) participated in the orientation and formation of these committees in the four districts. In Machinga and Balaka the TB/HIV committees conducted their first meetings where they
Malawi has an HIV prevalence rate of 10.3% and a TB incidence rate of 163 per 100,000. Nearly 60% of TB patients are co-infected with HIV. TB is the leading cause of death among people living with HIV/AIDS. HIV-positive TB patients have worse treatment outcomes than HIV-negative TB patients, and TB-related mortality among TB/HIV co-infected patients is particularly high during the first two to three months of TB treatment.
In an effort to improve TB/HIV integration in the country, TB CARE II Malawi is collaborating with the Ministries of Health and Education to increase TB screening among HIV-positive school teachers and learners. Working under the motto, “Better Safe than Sorry”, the campaign is encouraging HIV positive individuals to be screened routinely for TB – in order to identify and treat the disease early, rather than risk waiting to develop
The Bangladesh National Tuberculosis Control Program (NTP), in partnership with USAID through the TB CARE II project, recently published a set of guidelines meant to assist in the diagnosis and management of TB in children. The guidelines come in response to the World Health Organization (WHO)’s Stop Tuberculosis (TB) Strategy. The Strategy, which ultimately seeks to create a TB-Free world, promotes equal access to care for all people in an
In 2011-2012, TB CARE II undertook a study to understand TB patients’ delays and inform the development of an integrated set of recommendations for TB program managers and service providers regarding the appropriateness of different strategies for reducing patient factor delays in accessing TB diagnostic and treatment services. The project, led by URC, developed a series of questionnaires which were field tested and applied to conduct field studies in
On January 20, 2013, US Ambassador to Bangladesh Mr. Dan W. Mozena visited the Teliapara Tea Garden in Sylhet to observe a community awareness and education session for the garden workers. The area around Sylhet is a traditional tea growing area; it is home to over 150 tea gardens, including three of the largest in the world both in area and production. The Health, Education, and Economic Development (HEED)
Globally, few children with drug-resistant (DR) tuberculosis (TB) are identiﬁed, diagnosed, and given an appropriate treatment. Although advances have been made in critical high burden countries such as Bangladesh to increase access to quality care and treatment for DR TB, this disease is still considered largely to be a problem for adults, and children who are infected remain too often in the shadows, unable to access care. A child