Tuberculosis control in Suriname
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Transcript of Tuberculosis control in Suriname
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Tuberculosis control in Suriname
Situational analysis
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Overarching goalTo reduce incidence, mortality and
transmission of Tuberculosis in Suriname.
Strategic goals
• Detect 95% of expected sputum positive TB cases.
• Cure 95% of these cases
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Objectives
• Implement and expand quality DOTS in Suriname
• Address TB/HIV, MDR-TB and the needs of
vulnerable populations (TB/HIV collaborative
activities, prevention and management of MDR-TB,
treatment of Tb under DOTS in prisons)
• Contribute to health system strengthening
• Develop or Strengthen partnership to ensure
equitable access to all TB patients
• Engage communities and affected people for ACSM
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Current Situation
• Since May 2011 introduction of DOTS
• Sputum collection – Decentralized– NTP– Lung clinic
• Diagnosis– AZP: smear microscopy +PCR– SZN: smear microscopy– CL: smear microscopy+PCR+culture
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Treatment
• Initiation by pulmonologist/internal medicine specialist (or other specialist in case EPTB)
• After 3 consecutive negative sputum discharge of patient and treatment follow up by NTP and Dot supporters
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Trend 2000-2012Trend 2000-2012
NTP database
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Number of TB cases by age categoryNumber of TB cases by age category
NTP database
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TB/HIV
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Patient outcomes
NTP database
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Challenges
• Follow up treatment and diagnosis for (uninsured) foreigners
• Loss to follow up due to travel to home country
• Default due to travel to the interior (Gold miners)
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Area of collaboration
• Collaboration between NTP’s regarding transfer of TB patient
• Exchange program to learn from each other expierience
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