Name: PowerPoint Presentation
Uploaded: 2022-09-26
Duration: 2 min 4 s
Description: . ORL O FERENCE ON LUNC HEALTH 2022 The Union SOMBATINC PANDEMICS: TODAY & TOMORROW Virtual Event November 8-11.

. ORL O FERENCE ON LUNC HEALTH 2022 The Union SOMBATINC PANDEMICS: TODAY & TOMORROW Virtual Event November 8-11. 

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ORL O FERENCE ON LUNC HEALTH 2022
The Union
SOMBATINC PANDEMICS: TODAY & TOMORROW
Virtual Event November 8-11

Background M issing TB case finding among women in selected districts of Sind through improved access of women who were reluctant to visit male doctors for TB management. The low case notification rate in women remains the main challenge to ending TB in Pakistan. In the rural districts of Sindh females’ contribution is less than 45% of the total TB case notification.  Due to the dearth of female health care providers (FHCP) offering TB care both in public and private sectors and cultural barriers, in rural Sindh women face added barriers to access TB care, diagnostic, and treatment services and often remain  unnotified .

Conclusion s Women with TB face added barriers to accessing TB care, diagnostics, and treatment services.  F emale doctors were motivated and trained to provide TB diagnosis and treatment services in selected districts of Sindh in which TB case notification rate were lower then men (41%). The engagement of FHCPS made it more comfortable for women to seek TB care. Male treatment supporters from the family improve follow-ups and complete treatment. The training of FHCPs and the awareness created in the community are long-lasting and will continue to reap benefits by finding the missing women TB patients even after the project ends.

Results A total of 268640 (242237 women, 26027 Men) were screened, Total of 15505 (women 14259, Men 1247) were identified as presumptive. A total of 1177 TB cases were diagnosed and registered for ATT. The project contributed 17%of the overall notification and 32% to women's notification in these districts.

Intervention & Response The project was implemented from Feb 2020 to Jun 2021 through the TB REACH grant in four districts of Sindh province. We trained 96 Female FHCPs, (who were previously managing only mother and  child  health) and their paramedics'  on  National TB Control program guidelines. Women and children who visited clinics of these FHCPs were verbally screened for TB.  Sputum specimens of TB presumptive were collected and tested on WHO Diagnostic Tools (WDT) including gene-Xpert in designated labs.  Diagnosed TB patients were registered for TB treatment at project FHCP clinics. Chest camps were organized in the community at hot spots. The project organized advocacy sessions in the community. These sessions empowered women in the community to recognize and refer to TB presumptive.

TB case finding and treatment of missing cases among women in selected districts of Sind through improved access of rural women to TB care services. Dr Syed Sharaf Ali Shah Bridge Consultants Foundation

Overall TB case notification in intervention districts (including Project contribution)     Q1 2019 Q2  2019 Q3  2019 Q4  2019 Q1 2020 Q2  2020 Q3  2020 Q4  2020 M 883 926 925 903 890 561 799 931 F 740 758 631 691 601 473 833 1141 T 1623 1684 1556 1594 1491 1034 1632 2072

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