The contribution of a non-governmental organisation’s Community Based Tuberculosis Care Programme to case finding in Myanmar:trend over time
作者机构：National Tuberculosis ProgrammeMinistry of Health and SportsZabuthiri townshipPostcode 15011 Nay Pyi TawMyanmar Department of Medical ResearchMinistry of Health and SportsYangonMyanmar Medecins Sans FrontieresOperational Research UnitMSF-LuxembourgLuxembourgLuxembourg National Tuberculosis ProgrammeHanoiVietnam Centre for Operational ResearchInternational Union Against Tuberculosis and Lung DiseaseParisFrance
出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)
年 卷 期：2017年第6卷第1期
页 面：449-454页
核心收录：
学科分类：08[工学] 082302[工学-交通信息工程及控制] 0823[工学-交通运输工程]
基 金：The program was funded by WHO/TDR Impact grant to two TDR alumni from DMR.The funders had no role in study design data collection and analysis decision to publish or preparation of the manuscript
主 题：Operational research Community based tuberculosis care Contribution SORT IT
摘 要：Background:It is estimated that the standard,passive case finding(PCF)strategy for detecting cases of tuberculosis(TB)in Myanmar has not been successful:26%of cases are ***,alternative strategies,such as active case finding(ACF)by community volunteers,have been initiated since *** study aimed to assess the contribution of a Community Based TB Care Programme(CBTC)by local non-government organizations(NGOs)to TB case finding in Myanmar over 4 ***:This was a descriptive study using routine,monitoring *** data from the NGOs were sent to a central registry within the National TB Programme and data for this study were extracted from that *** from all 84 project townships in five regions and three states in Myanmar were *** project was launched in ***:Over time,the number of presumptive TB cases that were referred decreased,except in the Yangon Region,although in some areas,the numbers *** the same time,there was a trend for the proportion of cases treated,compared to those referred,that decreased over time(P=0.051).Overall,among 84 townships,the contribution of CBTC to total case detection deceased from 6%to 4%over time(P0.001).Conclusions:Contrary to expectations and evidence from previous studies in other countries,a concerning reduction in TB case finding by local NGO volunteer networks in several areas in Myanmar was recorded over 4 *** suggests that measures to support the volunteer network and improve its performance are *** may include discussion with local NGOs human resources personnel,incentives for the volunteers,closer supervision of volunteers and improved monitoring and evaluation tools.
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