Evaluation of Direct observed treatment short-course DOTS) strategy in National Tuberculosis ControlProgramme-Sudan
Evaluation of Direct observed treatment short-course DOTS) strategy in National Tuberculosis ControlProgramme-Sudan
No Thumbnail Available
Date
2015-03-25
Authors
Abdalla, Eltagi
Journal Title
Journal ISSN
Volume Title
Publisher
uofk
Abstract
This study was conducted during the period February ٢٠٠٥-february ٢٠٠٦
In the National Tuberculosis Control Programme in Sudan. The objectives was
study the effectiveness of DOTS strategy (outcome ) in Sudan (١٩٩٦-٢٠٠٣), to
evaluate the follow up system in these strategy treatment results, to detect the
case finding-detection rate and to identify problems facing the DOTS to
achieve their objectives. In addition, the study was designed to compare
between the different states in Sudan.
The sample was Detected from all tuberculosis patients new smear-positive
cases reported to the DOTS units in all states covered by DOTS strategy (٢٢
states out of ٢٦ states) from (١٩٩٦-٢٠٠٣). It was selected by cohort analysis of
reports and records from case finding and treatment results.
Various data analysis demonstrated those eight years after introduction of
DOTS strategy in Sudan. It has been possible to achieve treatment success rate
of ٨٠٪ for new smear-positive TB patients, except in year ٢٠٠٢(٨٥٪). These
results are below the WHO recommended ٨٥٪, the case detection rate in the
range (٥٨٪ in ١٩٩٦ to ٣٥٫٧٥ in ٢٠٠٣). This result is also below the WHO
recommended ٧٠٪ also.
The study reflected that there are some adverse factors such as social stigma,
poverty, co-infection with HIV that may affect TB control. Also, there were
few problems that faced the achievement of the DOTS strategy objectives such
as low expansion of TB services, insufficient political commitment, turn over
of staff, instability of population in some areas, illiteracy, unfavorable socioeconomic
factors and wars.
The comparison between ٢٢ states out of ٢٦ states reflected that there were
factors interfering with TB control such as the centralization of DOTS services
in some states, absence of political support, difficulties in transportation in
most states of the study.
٩
The recommendations are concentrated on the need for more political
commitment, reduction of defaulter rates to raise treatment success rate. In
addition, expansion of the DOTS centers to cover all population, promotion of
monitoring system and need for regular international evaluation and
supervision of the programme.
Description
91 page
Keywords
DOTS,National Tuberculosis Control,Sudan