The contribution of a non-governmental organisation’s Community Based Tuberculosis Care Programme to case finding in Myanmar: trend over time
نویسندگان
چکیده
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 missing. Therefore, alternative strategies, such as active case finding (ACF) by community volunteers, have been initiated since 2011. This 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 years. METHODS This was a descriptive study using routine, monitoring data. Original data from the NGOs were sent to a central registry within the National TB Programme and data for this study were extracted from that database. Data from all 84 project townships in five regions and three states in Myanmar were used. The project was launched in 2011. RESULTS Over time, the number of presumptive TB cases that were referred decreased, except in the Yangon Region, although in some areas, the numbers fluctuated. At 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 (P < 0.001). 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 years. This suggests that measures to support the volunteer network and improve its performance are needed. They may include discussion with local NGOs human resources personnel, incentives for the volunteers, closer supervision of volunteers and improved monitoring and evaluation tools.
منابع مشابه
International non-governmental organizations’ provision of community-based tuberculosis care for hard-to-reach populations in Myanmar, 2013–2014
BACKGROUND National tuberculosis (TB) programs increasingly engage with international non-governmental organizations (INGOs), especially to provide TB care in complex settings where community involvement might be required. In Myanmar, however, there is limited data on how such INGO community-based programs are organized and how effective they are. In this study, we describe four INGO strategies...
متن کاملتأثیر بهبود سیستم مراقبت و توانمندسازی گروههای مردمی بر شناسایی بیماران مبتلا به سل
Background and objective: Participation of community-based services in the National Tuberculosis Control Programme is (NTCP) necessary to identify and treat all patients with tuberculosis (TB). We developed a novel model to encourage family members and relative to participate in the RNTCP in Darahshar city. Methods: This community-based intervention was included of two groups of community (r...
متن کاملDifferent challenges, different approaches and related expenditures of community-based tuberculosis activities by international non-governmental organizations in Myanmar
BACKGROUND International non-governmental organizations (INGOs) have been implementing community-based tuberculosis (TB) care (CBTBC) in Myanmar since 2011. Although the National TB Programme (NTP) ultimately plans to take over CBTBC, there have been no evaluations of the models of care or of the costs of providing CBTBC in Myanmar by INGOs. METHODS This was a descriptive study using routinel...
متن کاملConditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria
Background Nigeria accounts for a significant proportion of global maternal mortality figures with little progress made in curbing poor health indices. In a bid to reverse this trend, the Government of Nigeria initiated a conditional cash transfer (CCT) programme to encourage pregnant women utilize services at designated health facilities. This study aims to understand experiences of women who ...
متن کاملAnalysis the position of Non-governmental Organizations and Community Based Organization about Informal Settlement empowering through Grounded Theory method
Aims and Background: Informal settlement is one of the most important urban problems that reduces the level of quality and quantity of life.So far, different ways of organizing informal settlements have been presented, but the empowerment strategy has a high status in order to reduce physical, economic and social inequalities in the world.Among the solutions to the complex problems of these set...
متن کامل