stoptb - who · 2004. 1. 8. · wfpspecialprogram.foodis distributedtoafghanssufferingfrom...
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W F P / W H O p r o v i d esupplementary food toTBpatients
Research to investigateon high rates in womenTBcases
Theestablishmentofamemorandumof understanding with WFP on 24March 2003, provides TB patientswith supplementary food, as part ofWFP special program . Food isdistributedtoAfghanssufferingfromTB for thedurationofthetreatment.Anincentiveforpatientstoattendtheclinicregularly tocollectmedicinesfromthehandsofhealthworkers.
WHO conducted an operationalresearchtoinvestigate thecauses ofmarkedfemaleprevalencenotifiedinTBcases(65-70)%ofallpatientsarewomen). Interviews with selectedtarget groups (TB patients,suspects,hea l th workers and privatePractitioners) were conducted inkabul,Mazar,HeratandGardez).
Preliminaryresultsofthestudywerepresented attheInternational Unionagainst TB and Lung Diseases(IUATLD)conferenceinParis endofOctober2003.
Another research will investigatethemagnitudeandqualityofTB care intheprivatefor-profitsector, asthisisoneofthemostcommonproviderofhealthcarefortheAfghanpopulation,duetolowPHCservicescoverage.
Priority Areas for2004
?DevelopasustainablenetworkofTB control units, based on theDOTSstrategy, withinthegeneralhealthservices
Provide high quality DOTS to55%ofthepopulation
D e v e l o p a n e t w o r k o fCommuni ty -Based DOTSservices to strengthen case-findingandcase-holdinginspiteoflowPHCcoverage
Promote involvement of theprivate and the informal healthsector in DOTS expansion toimprove access tocure
IncreasethecoordinatingroleoftheNTPandabroaderpartnership( local author i t ies , NGOs,internationalagenciesetc.)
Draft national plan for leprosyeliminationandnationalleprosyboardtomonitorcases.
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SecureTBdrugs,consumablesandequipmentfor2005
Work out and implement standardtrainingpackageatalllevels
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Eachyear about70,000Afghans
develop some formoftuberculosis.However,itisonlythefewwhohaveaccesstoPrimaryHealthCarefacilitiesthatreceiveappropriatetreatment.
The death tollofTBisstillveryhigh.WHOestimatesataround20,000theannualnumberofTB-relateddeaths.
TheWHOtargetistodetectandputonDOTS(DirectlyObserved TreatmentShort Course)70%ofallcasesandsuccessfullytreat85%ofthem.
Afghanistancelebrates,liketherestoftheworld TBDayasastrategytoraiseawarenessincommunitiesbydisseminatingeffectiveandculturallyappropriatehealth education messagesregarding the preventionandtreatmentoftuberculosisinAfghanistan.WorldTBDay2003inAfghanistanwasmarkedwithan innovativeapproach:postalstampsandaerogramswereproducedbytheAfghanPostsandsoldoverthecounterinpostofficescountrywide.
TheWorldHealthorganizationwasinstrumentalinsupporting,facilitating
andnegociatingthefundingproposalsubmittedbytheAfghangovernmenttotheGlobalFund,aninternationalPublic-PrivatefundingagencybasedinGenevawhichallocatesfinancialresourcestocountriesforthefightagainstTuberculosis,AIDSandMalaria.
ThefundwillbeutilizedtoraisethecapacityoftheMinistryofHealthinoverallmanagementofthefundsreceivedandpartlytofinancetheprocurementofcommodities,drugsandequipments.
TheMinistryofHealthsubmittedtwoproposalsoneofwhichisalreadyapprovedbytheGobalFundandinFebruary2003foratotalamountofaround3.12milliondollars.ThesecondfundingapplicationsubmittedinMay2003(around20million$outofwhich9millions$fortheimplementationofTBactivities)isnowunderscrutinyandawaitingapproval.
AccordingtotheStrategicPlanforDOTSExpansion,thenumberofpatientsforeseenin2004is40,200.Anestimateduetotheongoingexpansionprocess,whichmakesitdifficulttopredictthenumberofcasesthatwillbeidentified andputontreatmentinthenextmonths.
Aspartofitshumanresourcesdevelopmentscheme,WHOtrainsdoctors,nursesandcommunityhealthworkersonclinicalmanagementoftuberculosisandonDOTSatregionalandcentrallevels.There-openingoftheDarulamanTBCenterinKabul,recentlyrehabilitatedbytheJapaneseInternationalCooperationAgency(JICA)hasprovidedtheappropriatesettingtotrainAfghancadresasregional/provincialtrainers.AworkshopaimedatdevelopingaNationalTrainingPlan forTBControlisplannedtohappenearlynextyearinKabul.
WHOsuppliestheNationalTBProgramwithqualityanti-TBdrugs,laboratory reagents,binocularmicroscopes,battery-operatedilluminators(powersupplyin
Afghanistanisoftenerraticorcompletelyunavailable),microscopyslidesandsputumcups.
Capacity buildingonclinical management of TBand DOTS World TB Day
Afghanistan application toGlobal Fund
C u r b i n g t h e e x p a n s i o n of the diseaseStop TB
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