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Supporting tuberculosis program in active contact tracing:a case study from Pakistan

Infectious Diseases of Poverty 2022年第2期11卷 72-76页

作者： Babar Tasneem Shaikh Ahmed Khan Laghari sulaiman durrani Alina Chaudhry Nabeela Ali Integrated Health System Strengthening and Service Delivery(IHSS-SD)Activity JSI Research&Training Institute Inc.Mezzanine FloorThe Grand Hotel Street 1Sector E-11/1Islamabad 44000Pakistan

Tuberculosis(TB)is on the rise in Pakistan and there could be multiple reasons including poverty,difficulty in access to TB treatment services,non-compliance with treatment,social stigma *** to the TB program managers,limited treatment and testing sites for tuberculosis and lack of trained human resources play a major role in compromising TB management.A major lacuna in the TB control program is the absence of active contact tracing *** is essential for a disease where positive cases are known to be able to infect a further 10-15 individuals in a *** tuberculosis in Pakistan has been beleaguered by funding challenges and other systems’bottlenecks such as lack of skilled human resources and insufficient supply of medicines,despite the fact that disease burden is one of the highest in the *** it is a notifiable disease,active case finding,contact tracing and reporting is notoriously low throughout the *** to diagnostics and treatment facilities has been limited and stigma attached to the disease remains deeply entrenched among the *** have shown that enhanced and active approaches to contact investigation effectively identifies additional patients with TB among household contacts at a relatively modest ***’s Integrated Health Systems Strengthening and Service Delivery Activity extended support to the Health Departments of Sindh and Khyber Pakhtunkhwa *** collaboration with the two provincial TB programs,community based active contact tracing was conducted on 17,696 individuals,based on the index *** the contacts traced,243 cases were diagnosed as drug sensitive or drug resistant *** sessions were conducted to sensitize people on the various aspects of disease and importance of getting *** project also supported establishing three satellite Programmatic Management of Drug Resistant Tuberculosis(PMDT)sites for drug resistant TB treatment,enhancing the programs

关键词： Active contact tracing Community awareness Tuberculosis Pakistan

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