The contribution of a non-governmental organisation’s Community Based Tuberculosis Care Programme to case finding in Myanmar:trend over time  

作　　者：Htet Myet Win Maung Saw Saw Petros Isaakidis Mohammed Khogali Anthony Reid Nguyen Binh Hoa Ko Ko Zaw Saw Thein Si Thu Aung 

机构地区：[1]National Tuberculosis Programme,Ministry of Health and Sports,Zabuthiri township,Postcode 15011 Nay Pyi Taw,Myanmar [2]Department of Medical Research,Ministry of Health and Sports,Yangon,Myanmar [3]Medecins Sans Frontieres,Operational Research Unit,MSF-Luxembourg,Luxembourg,Luxembourg [4]National Tuberculosis Programme,Hanoi,Vietnam [5]Centre for Operational Research,International Union Against Tuberculosis and Lung Disease,Paris,France

出　　处：《Infectious Diseases of Poverty》2017年第1期449-454,共6页贫困所致传染病（英文）

基　　金：The program was funded by WHO/TDR Impact grant to two TDR alumni from DMR.The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript。

摘　　要：Background:It is estimated that the standard,passive case finding(PCF)strategy for detecting cases of tuberculosis(TB)in Myanmar has not been successful:26%of cases are missing.Therefore,alternative strategies,such as active case finding(ACF)by community volunteers,have been initiated since 2011.This study aimed to assess the contribution of a Community Based TB Care Programme(CBTC)by local non-government organizations(NGOs)to TB case finding in Myanmar over 4 years.Methods:This was a descriptive study using routine,monitoring data.Original data from the NGOs were sent to a central registry within the National TB Programme and data for this study were extracted from that database.Data from all 84 project townships in five regions and three states in Myanmar were used.The project was launched in 2011.Results:Over time,the number of presumptive TB cases that were referred decreased,except in the Yangon Region,although in some areas,the numbers fluctuated.At the same time,there was a trend for the proportion of cases treated,compared to those referred,that decreased over time(P=0.051).Overall,among 84 townships,the contribution of CBTC to total case detection deceased from 6%to 4%over time(P<0.001).Conclusions:Contrary to expectations and evidence from previous studies in other countries,a concerning reduction in TB case finding by local NGO volunteer networks in several areas in Myanmar was recorded over 4 years.This suggests that measures to support the volunteer network and improve its performance are needed.They may include discussion with local NGOs human resources personnel,incentives for the volunteers,closer supervision of volunteers and improved monitoring and evaluation tools.

关 键 词：Operational research Community based tuberculosis care CONTRIBUTION SORT IT 

分 类 号：U28[交通运输工程—交通信息工程及控制]