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Frontiers | Public–Private Mix Models of Tuberculosis Care in Pakistan: A High-Burden Country Perspective

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 ....

United States , France General , South Africa , North West Frontier , Jawa Timur , South African , Rabbani Sana , Coll Abbottabad , Asia Pacj Public Health , Program For Research , Research Unit , Quaidi Azam University Islamabad , Ministry Of National Services , Ethics Committee , Global Health Sci Prac , National Guidelines For The Control Of Tuberculosis , Public Health Action , National Health Accounts Pakistan , Data Surveillance Team , Health Policy Plan , World Health Organization , National Academies , Mediterr Health , National Tuberculosis Control Program Of Pakistan , Epidemiol Global Health , Public Health ,

Help with Your Health Resolutions


Luckily, there is help.
Below are some tips, research findings and resources that could help motivate and inspire you stick with those resolutions.  But first, you might need to detoxify from the holiday festivities.
Detoxification
Detoxification is a natural, automatic process that occurs in the body 24 hours a day. We can support our body s ability to detoxify through positive lifestyle choices such as enhanced nutrition, limiting toxic exposures in our environment, exercise and stress reduction. 
The liver is the major organ for detoxification. For the liver to function well in its job of detoxification, it requires nutrition: adequate protein is essential to this effort, and many vegetables and herbs can help. ....

New York , United States , Yael Strulovici , Coll Abbottabad , Christian Werner , Forsch Komplementmed , University Of California , National Center , Presbyterian Hospital Weill Cornell Medical Center , University Of Colorado At Boulder , National Institutes Of Health , Renaissance Workshops Ltd , Liver Herb , Alternative Medicine , American Journal , Critical Care , New York Presbyterian , Weill Cornell Medical Center , Yael Strulovici Barel , National Institutes , Clin Exp , Ayub Med Coll , Critical Care Medicine Vol , Biologic Responses , Small Airway Epithelium , Low Levels ,