Mabutsane Sub District Tuberculosis Program Performance from 2013 to 2015
Abstract:
A retrospective research through review
of Tuberculosis (TB) registers was conducted in Mabutsane sub district from July
to September 2016. This study was intended to assess the TB program achievements
from the period of 2013 to 2015 in order to improve TB case management for better
district Tuberculosis performance.
To this end, the cure and success rates,
the proportion of TB patients with completed treatment, the defaults, as well as
the HIV testing rates have been determined.
The results were as follows: the cure
rates 29.57% (2013), 19% (2014), 11.10% (2015), the treatment completion 80 %( 2013),
79.4 %( 2014), 68.5 %( 2015), and the default rate was below 5% for the whole study
period. The success rates were 78.6% (2013), 78% (2014) and 67.1% (2015).
The overall cure rate was low, and very
low among patients seen in 2015. There have been a marked completion treatment and
success rate over the first two years of a study with decline in 2015 due to poor
documentation or poor program.
HIV testing rate was more than 90% among
Tuberculosis patients throughout the all years, with TB/HIV co infection rate between
40% and 60%.
Mabutsane sub district Tuberculosis
program is a weak program as shown by a low cure rates, and sputum follow up.
Keywords: Tuberculosis cure and success rates,
HIV testing rate, default rate, treatment completion.
References:
[1]. Botswana National TB register, 2008
89. TB and Malaria in SADC Countries. Thuthula Balfour SADC Health Sector
Coordinating Unit, Pretoria.
[2]. Botswana Tuberculosis and Leprosy
Programme, Annual Report 201223.
[3]. Botswana National Tuberculosis
Programme Manual, Seventh Edition 2011.
[4]. Caholo J. S. Regional Integration
in the Context of HIV and AIDS, TB and Malaria: The case of SADC, Presentation
at the XIX International AIDS Conference, Washington DC, 2012.
[5]. Global tuberculosis report, 2015.
[6]. Global tuberculosis report, 2016 http://www.tbfacts.org/tbstatistics/#sthash.Rn1Of6xY.dpuf
[7]. Gebretsadik Berhe et al. (2012).
Treatment outcome of smear-positive pulmonary tuberculosis patients in Tigray
Region, Northern Ethiopia. Group Division of Tuberculosis Elimination National
Center for HIV, STD, and TB, 2006.
[8]. https://en.wikipedia.org/wiki/Southern_District_%28Botswana%29
[9]. Harmonized Minimum Standards for
the Prevention, Treatment and Management of Tuberculosis in the SADC Region,
2010.
[10]. LIZ King and Shama ahuja. TB and
HIV co infection: current trends and treatment updates, 2006.
[11]. Margaret E. Kruk et al. Timing of
default from tuberculosis treatment: a systematic review, 2008. Monitoring and
evaluation frameworks and the performance and governance of international
funds, 2001.
[12]. Norgbe, G.K. et al. Factors
influencing default rates of tuberculosis patients in Ghana, 2011.
[13]. Reid A. et al. (2006). Towards
universal access to HIV prevention, treatment and support. http://www.aho.afro.who.int/profiles_information/index.php/Botswana:Tuberculosis
Botswana Census, 2011.
[14]. Rebecca Gross, M.A. and Christina
Blumel, Literature Review of Tuberculosis (TB) Intervention Studies, 2008
[15]. Tom Hiatt et al. (2013)
Epidemiology and control of tuberculosis in the Western Pacific Region, WHO
Regional Office for the Western Pacific, Manila, Philippines.
[16]. Treatment of Tuberculosis,
Guidelines, fourth edition. WHO, 2010.
[17]. TB Program Evaluation Handbook:
Introduction to Program Evaluation Tuberculosis Evaluation Work