Introduction: Pakistan ranks fifth in the globally estimated burden of Tuberculosis (TB) case incidence. Annually, a gap of 241,688 TB patients exists between estimated TB incidence and actual TB case notification in Pakistan. These undetected/missed TB cases initiate TB care from providers in the private healthcare system who are less motivated to notify patients to the national database that leads to significant under-detection of actual TB cases in the Pakistani community. To engage these private providers in reaching out to missing TB cases, a national implementation trial of the Public-Private Mix (PPM) model was cohesively launched by NTP Pakistan in 2014. The study aims to assess the implementation, contribution, and relative treatment outcomes of cohesively implemented PPM model in comparison to the non-PPM model. Methods: A retrospective record review of all forms (new and relapse) TB patients notified from July 2015 to June 2016 was conducted both for PPM- and non-PPM models
Frontiers | The Relevance of Genomic Epidemiology for Control of Tuberculosis in West Africa
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Fight Against TB, HIV: Bangladesh poised to reach targets
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It all started six months ago when Karima (not her real name) started coughing but mistook it for a simple case of flu. Even though Karima has a form of Tuberculosis (TB) which has been resistant to different drugs – known as Multidrug-resistant TB (MDR-TB), she said this cough was different.
MDR-TB is a particular type of drug resistant TB where the TB bacteria that a person is infected with is resistant to two of the most important TB drugs, Isoniazid (INH) and Rifampicin (RMP). If bacteria are resistant to certain TB drugs, the drugs do not work.
“My elder sister took me to a clinic and l was given antibiotics and syrup for the cough but after two weeks there was no improvement,” Karima said.