Today is our topic of discussion National Tuberculosis Programme
National Tuberculosis Programme
The NTP aims to strengthen the efforts towards TB control through effective partnerships and mobilization of resources and by ensuring quality diagnostic and treatment services under defined DOTS strategy.
The services should be equally available to all the people of Bangladesh irrespective of age, sex, religion, ethnicity, social status or race. The overall goal of TB control is to reduce morbidity, mortality and transmission of TB until it is no longer a public health problem. The objectives of NTP are –
- Sustain the global targets of achieving at least 70% case detection and 85% treatment success among smear-positive TB cases under DOTS;
- Reach the interim target of halving the TB death and prevalence rates by 2010 towards achieving a reduction of incidence of TB as stated under the MDG by 2015.
Elements of ‘stop TB strategy’:
- Pursue quality DOTS expansion and enhancement;
- Establish interventions to address HIV-associated TB and drug-resistant TB;
- Contribute to health systems strengthening;
- Forge partnerships to ensure equitable access to an essential standard of care to all TB patients;
- Engage people with TB and affected communities; and,
- Promote operational research.
Curative component (early diagnosis & treatment):
Case finding, screening and early detection of cases by-
- Sputum examination
- Chest X-ray
- Tuberculin test
Treatment
Preventive component:
BCG vaccination
Other measures:
Administrative control:
Physical separation of patients known or suspected TB or MDR-TB from other patients.
Environmental controls:
Infection control can be assured by strong natural ventilation.
Personal respiratory protection (special masks)
Include patients and community in advocacy campaigns
Ensure safe sputum collection:
HCWs should explain to patients that safety without stigma is the goal of good TB infection control and that sputum be collected outside.
Promote cough etiquette and cough hygiene:
Facility should have a poster on TB infection control and cough etiquette in the OPD waiting & admission area and casualty department.
Triage of TB suspects for “fast-track” or separation:
Persons suspected of TB fast-tracked for rapid diagnosis and care or asked to wait near an open window or area separate from the general waiting room.
Monitor infection control practices
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