Identifying the Impact of Standard Operation Procedure Implementation on Early TB Case Detection in Afghanistan, 2008-2011 Authors: G. Qader 1 , M. Abdul Hafiz 2 , P.G. Suarez 3 , M. Seddiq 4 , S.D. Mahmoodi 5 Affiliations: 1 Senior Technical Advisor, TB CARE I, Afghanistan; 2 Country Project Director, TB CARE I/Management Sciences for Health (MSH), Afghanistan; 3 Global TB Technical Lead, Center for Health Services/MSH, Arlington, USA; 4 Manager, National TB Program of the Ministry of Public Health, Afghanistan; 5 General Head of M&E Surveillance and Research, National TB Program, Afghanistan TB Service Needs in Afghanistan Afghanistan’s tuberculosis (TB) treatment standard operating procedures (SOPs) had not been revised since 2004. Health facility staff were not trained in TB service delivery. This caused delayed TB case detection, diagnosis, and treatment. TB CARE I Responds (2010 – 2012) TB CARE I, a USAID-funded project, helped the National TB Program (NTP) revise and print SOPs for TB case detection. TB CARE I and NTP then distributed the following materials to 1,500 clinics: The revised TB care SOPs and guidelines Diagnostic materials TB treatment packages TB CARE I and NTP also trained 2,072 health facility staff to use these new tools and materials. For more information, please contact: G. Qader MD, DPH, MPH, Senior Technical Advisor, TB CARE I, Afghanistan; Tel: +93 797 261 407; Email: [email protected] Acknowledgement The Government of the United States of America through the US Agency for International Development (USAID) for funding the TB CARE I project. Assessing SOP Impact (2012) TB CARE I and NTP conducted an assessment to determine the impact of SOP implementation on TB screening and case detection. Collected data from 637 health facilities from 2008 – 2011. A trained health worker assists a TB patient on DOT, Baghlan province, Afghanistan, July, 2011 85,105 98,443 154,500 195,275 0 50,000 100,000 150,000 200,000 250,000 2008 2009 2010 2011 Number of People Years Number of People with TB Symptoms Screened for TB 2008 – 2011 Results: SOPs Increase Screening and Case Detection Assessment revealed a steady increase in the number of people with TB symptoms screened for TB from 2008 – 2011. Increases in the number of people screened for TB led to a 7% increase in TB case detection and notification in 2010, which sustained in 2011. Total TB cases notified: 2009: 26,258 2010: 28,238 2011: 28,138 Conclusion The SOP implementation resulted in a significant increase in the number of people screened for TB and, in turn, TB case detection also increased. SOP implementation should be scaled up in similar settings.
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Identifying the Impact of Standard Operation Procedure Implementation on Early TB ���Case Detection in Afghanistan, 2008-2011
Authors: G. Qader1, M. Abdul Hafiz2, P.G. Suarez3, ���M. Seddiq4, S.D. Mahmoodi5 Affiliations: 1Senior Technical Advisor, TB CARE I, Afghanistan; ���2Country Project Director, TB CARE I/Management Sciences for Health (MSH), Afghanistan; 3Global TB Technical Lead, Center for Health ���Services/MSH, Arlington, USA;4Manager, National TB Program of the Ministry of Public Health, Afghanistan; 5General Head of M&E ���Surveillance and Research, National TB Program, Afghanistan
TB Service Needs in Afghanistan § Afghanistan’s tuberculosis (TB) treatment standard operating
procedures (SOPs) had not been revised since 2004. Health facility staff were not trained in TB service delivery. This caused delayed TB case detection, diagnosis, and treatment.
TB CARE I Responds (2010 – 2012) § TB CARE I, a USAID-funded project, helped the National ���
TB Program (NTP) revise and print SOPs for TB case detection.
§ TB CARE I and NTP then distributed the following materials to 1,500 clinics: v The revised TB care SOPs and guidelines
v Diagnostic materials
v TB treatment packages
§ TB CARE I and NTP also trained 2,072 health facility staff to use these new tools and materials.
For more information, please contact: G. Qader MD, DPH, MPH, Senior Technical Advisor, TB CARE I, Afghanistan; Tel: +93 797 261 407; Email: [email protected]
Acknowledgement The Government of the United States of America through the US Agency for International Development (USAID) for funding the TB CARE I project.
Assessing SOP Impact (2012) § TB CARE I and NTP conducted an assessment to determine
the impact of SOP implementation on TB screening and case detection.
§ Collected data from 637 health facilities from 2008 – 2011.
A trained health worker assists a TB patient on DOT, Baghlan province, Afghanistan, July, 2011
85,105 98,443
154,500
195,275
0
50,000
100,000
150,000
200,000
250,000
2008 2009 2010 2011
Nu
mb
er
of
Pe
op
le
Years
Number of People with TB Symptoms Screened for TB���
2008 – 2011
Results: SOPs Increase Screening and Case Detection
§ Assessment revealed a steady increase in the number ���of people with TB symptoms screened for TB from ���2008 – 2011.
§ Increases in the number of people screened for TB led to a 7% increase in TB case detection and notification in 2010, which sustained in 2011.
§ Total TB cases notified: v 2009: 26,258
v 2010: 28,238
v 2011: 28,138
Conclusion § The SOP implementation resulted in a significant increase in
the number of people screened for TB and, in turn, TB case detection also increased.
§ SOP implementation should be scaled up in similar settings.
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