Transcript TB_Nov2004 - Public Health Strengthening in Guyana

Public Health Strengthening in Guyana
Implemented by the Canadian Society for International Health (CSIH) in partnership with the Guyanese Ministry of Health
Canadian International Development Agency investment 5.5 million CN$
Poster Abstract
Information
Patient Education
Support Systems
Statistics
Sputum Collection
First National TB conference in Guyana, Oct. 2004
Launch of DOTS expansion in region 10
• Expanding and Strengthening the Prevention, Management and Care
of STIs/HIV/AIDS
• Improving National Tuberculosis Prevention and Control Program
800
• Strengthening the Health Information System
600
• Community Health Development and Care
Guyana
Notified Cases 1988 - 2003
400
200
01
20
98
19
95
19
92
19
89
19
86
19
19
 Support the National Tb Program (NTP)
 Developed National Guidelines for prevention and control of Tb
 Developed guidelines for treating people co-infected with
HIV/AIDS
 Implement and expand DOTS (Directly Observed Therapy Short
course)
 Strengthen Laboratories
 Strengthen the Capacity of Educational Institutions
19
80
TB COMPONENT
Project Goals
83
0
Age and Gender Distribution 2003
100
Male
80
Female
60
40
20
Consultation at Chest Clinic with
NTP Director, Nurse and CSIH expert
CSIH Ottawa office:
Roumyana Benedict
Project Director
Tel: (613) 241-5785 Ext.307
[email protected]
Computer and database training at Chest
Clinic with CSIH NetCorps intern
www.csih.org/what/guyana/indexguyana.html
Minister Ramsammy on a new
DOTS bike provided by CSIH
+
65
4
-6
55
4
-5
45
4
-4
35
4
-3
25
 Key persons trained on a study tour to Canada.
 Vehicle and administrative support provided for the NTP
 Completed final draft of National TB Manual and TB Laboratory
Manual
 Eleven new DOTS workers trained, mentored and provided with
motorbikes
 Central Lab equipped and trained for TB culturing and fluorescent
microscopy
 Continuing Education sessions for medical technologists
 The NGO Guyana Chest Society, re-activated and now member of
the IUATLD
 First National TB conference held in collaboration with MOH and
the Chest Society
-2
Project Achievements
4
0
15
Drug Dosages
Finding running water;
Non-existent
Using wipes / antiseptic wash
Self-administered; Some
Directly Observed; Meds
DOTS in Georgetown only
counted and packed in plastic
Meds carried in pillboxes
bags
Different dosages ; Varying
Therapeutic dosages; Most
length of tx ; Missing
treatments completed in 6
medications
months
DOTS notes; Lab results
Pertinent information not
posted; Improved
consistently reported to MD
documentation
Ongoing; Done with Family
Done at first visit only; Lack of
members; Teaching aids
teaching aids
developed
Need for Support Systems
Support Systems continue to
identified
be insufficient
Standardization of format;
Not done
properly reported
Specimens collected at home
Patients went to the laboratory
by DOTS workers
Key Project Components:
14
Medication
2004
Region 6
• TB detection rate is 54%
• DOTS (Directly Observed Therapy)
coverage is only 12% of the total population
• Annual rate of infection : 3.2 (estimated)
• Annual risk of infection : 0.92
• TB infection : 14% (105,000 – estimated)
• Current prevalence : 0.3% (2,400 active cases)
• Annual incidence : 79/100,000 (reported)
• Mortality Rate (reported) : 3.25
-
Hand Washing
2003
• 590 TB reported cases nationwide (2003)
0
ACTIVITY
Region 10
Cases
DOTS Achievements 2003-2004
TB in Guyana
Cases
Public Health Strengthening in Guyana is a capacity development
intervention focused on improving and maintaining the health of
Guyana’s population. One major component of the Project focuses on
improving the National Tuberculosis Program (NTP) by providing
technical and administrative support for the NTP Unit, developing and
implementing national diagnosis and treatment guidelines and,
developing implementation strategies for directly observed therapy
short-course (DOTS) using WHO standard treatment. To ensure the
success of the project, organization and necessary procurement to
introduce AFB laboratory diagnosis have been instituted. TB and biosafety training sessions and laboratory manual development are
completed. Mentorship, training and provision of motorbikes to DOTS
workers have further ensured that great strides were made to improve
level of patient plus family care.
In 2001, there were 787 TB cases nationwide in Guyana. The TB detection
rate was 54% for 2000. Moreover, the incidence of TB had increased by
10-20% annually between 1994 and 1999. In many cases, the extent of the
problems was impossible to define because of the lack of diagnostic
capacities, relevant expertise, and adequate staffing. Furthermore, many
of the gains made from public health interventions, such as childhood
immunization programs, have been eroded by the consequences of the
increasing burden of HIV/AIDS, tuberculosis and co-infections.
By supporting an integral approach to disease, prevention, diagnosis,
management and care at the National and district/community levels, this
project will result in overall improvement in health of the Guyanese.
Region 4
Treatment Outcomes -2003
Chest Clinic
Cured Defaulted Failure Died
Georgetown
212
122
14
27
New Amsterdam 16
8
0
6
Linden
9
4
0
7
WDRH
7
7
1
1
Total
244
144
15
37
Percent%
43.7
25.2
2.6
6.6
Chief technologist and CSIH expert at new
PHSG-funded laboratory
A CSIH consultant delivers a lecture at UG
CSIH Guyana office:
Suzanne Marquis
Project Field Manager
Tel: (592) 227 3673
[email protected]
Authors and Affiliations : Dr. Earl Hershfield, Tb expert consultant; Dr. Shamdeo Persaud, National Tuberculosis Officer Guyana; Ms. Roumyana Benedict, Project Director; Ms. Josée Levesque