Uganda National Tb And Leprosy Control Program
According to WHO, childhood TB in high burden countries like Uganda is is at 20% with less than 8% of the cases notified. Although Uganda achieved its MDG of halving the TB prevalence and mortality, TB disease burden is still high caused by high rates of TB-HIV co-infection.During the period, Baylor Uganda in partnership with The Union against Tuberculosis and Lung disease and Mildmay Uganda, conducted a collaborative research project to improve paediatric TB case finding, IPT initiation for TB prevention and treatment success rate.
This resulted in an increase of index TB cases contact-traced and 57.5% eligible clients initiated on Isoniazid prophylaxis; within 6months of project implementation in Kabarole district.Baylor Uganda partnered with the National TB/Leprosy control program developed guidelines for paediatric TB management to increase case finding and a competence-based curriculum was developed to train front-line health workers in paediatric TB diagnosis and management across the country. In the period, 180 trainers in paediatric TB management were trained who then facilitated the roll out of the revised TB guidelines in all supported regions.
Health workers were trained on integration of TB into Reproductive maternal newborn and child health services. Support was also extended to facilitate district TB/leprosy supervisors (DTLS) and district laboratory focal persons (DLFP) to conduct mentorship and support supervision on TB diagnosis, treatment. And utilization of the genexpert services 8 laboratory hubs in supported regions. There was continued use of hub riders to deliver sputum and other samples and weekly Xpert reports were submitted to the NTLP. There was a decline in TB cases reported at the COE from 232 the previous year to 193. PPD’s, GeneXpert and chest X-Rays were the most commonly used diagnostics.
Pg&e power shut off. Simply complete the online CARE/FERA enrollment form and we'll let you know if you're eligible. California Alternate Rates for Energy Program (CARE). A monthly discount of 20% or more on gas and electricity. Participants qualify through income guidelines or if enrolled in certain public assistance programs.
Of the 1,479 GeneXpert tests done, 26 (2%) were positive. TB contact tracing was done for 99 clients 2 of who were diagnosed with tuberculosis and one had HIV co-infection while 29 had HIV. The COE registered 3 cases of Rifampicin (MDR) TB cases. All clients diagnosed with TB received appropriate anti tuberculosis treatment and ART within 8 weeks.
Uganda is one of the high burden countries that contribute 80% of the world’s tuberculosis (TB) burden. Health care worker and patient perspectives provide valuable insight into gaps between policy and practice within tuberculosis control program. This study was part of a larger mixed-methods study to explore knowledge and stigma around HIV, TB and TB/HIV co-infection. We conducted a secondary analysis of the qualitative data. Findings related to challenges faced by health care workers and patients.
Uganda National Tb And Leprosy Control Program Pdf
Patient’s identified delays in diagnosis and financial burden associated with TB treatment. Health care workers called for more training on TB and TB/HIV co-infection, and identified poor referral practices between health units and lack of program funding resulting in the abandonment of DOTS programs. Training for health care workers is needed to better manage TB/HIV co-infected patients. Overall health system strengthening is needed, including referral systems tracking patients between health centers. Previous article in issue.
T.b Management In Uganda
Next article in issue.