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Authors: Habtamu Ayalneh 1 , Berhanemeska Assefa 2 , Abu Emma 3 ,Tsegaye Tesfaye 4 , Zelalem Habtamu 5 , Mengistu Kenea 4 , Kumsa Gudeta 4 , Eliud Wandwalo 6 , Pedro G. Suarez 7 Affiliations: 1 TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I Ethiopia; 2 Project Coordinator, TB CARE I Ethiopia; 3 TB/HIV Focal Person, West Arsi Zonal Health Department, Ethiopia; 4 Oromia RHB-TB/HIV Officer, TB CARE I Ethiopia; 5 Deputy Head, Oromia RHB; 6 Technical Principle TB Advisor; 7 Global TB Technical Lead, Management Sciences for Health, Arlington USA Partners Strategize to Improve TB Services in Ethiopia Ethiopia is one of the world’s 22 high burden countries for tuberculosis (TB). According to the World Health Organization’s 2011 Global TB Report, Ethiopia has a TB incidence of 261/100, 000 and prevalence of 394/100,000. The USAID-funded TB CARE I project and the Oromia Regional Health Bureau (RHB) are working together to improve TB case detection and TB/HIV care by implementing a package of interventions. The interventions include: Improving TB operations within health facilities; Improving health facility staff TB knowledge and skills; Providing staff with standard operating procedures (SOPs) for TB diagnosis and treatment; Improving records and reports of staff training, mentoring, client referrals, and TB treatment outcomes. For more information, please contact: Habtamu Ayalneh, TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I, Ethiopia; Tel: +251-912-022148; 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. TB CARE I Identifies TB Service Gaps TB CARE I developed a joint action plan with the RHB. Together they: Selected the pilot zone; Conducted an assessment to identify TB service gaps in health facilities; Developed SOPs to address identified TB case detection gaps and other TB service needs, including TB/HIV integrated care. TB CARE I’s facility interventions began in January, 2011: Trained 98 health workers and 39 out-patient department staff on the new SOPs and basic TB clinical skills; Distributed 1,000 SOPs to different service delivery units of 3 hospitals and 25 health centers; Conducted quarterly supervisory and mentoring visits to all health facilities to ensure SOP implementation. Improving TB Case Detection by Implementing Standard Operating Procedures (SOPs) in Selected Health Facilities in Ethiopia Intervention started in the 3rd quarter (Jan – Mar 2011) and results documented as of April 2011. SOPs were developed based on identified TB service gaps. Conclusion Developing and distributing TB case detection SOPs, followed by staff training, mentoring, and supervision, minimizes missed opportunities and improves TB case detection in health facilities. TB CARE I strongly recommends scaling up this intervention to other zones and regions to improve TB case detection and TB/HIV care in the country. Results: Standard Operating Procedures Improve TB Suspect Identification and TB Case Notification Rate
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Improving TB Case Detection by Authors: , Berhanemeska ... · Habtamu Ayalneh, TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I, Ethiopia; Tel: +251-912-022148; Email: [email protected]

Jan 05, 2020

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Page 1: Improving TB Case Detection by Authors: , Berhanemeska ... · Habtamu Ayalneh, TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I, Ethiopia; Tel: +251-912-022148; Email: hayalneh@msh.org

Authors: Habtamu Ayalneh1, Berhanemeska Assefa2, ���Abu Emma3,Tsegaye Tesfaye4, Zelalem Habtamu5, Mengistu Kenea4, Kumsa Gudeta4, Eliud Wandwalo6, Pedro G. Suarez7 Affiliations: 1TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I Ethiopia; 2Project Coordinator, TB CARE I Ethiopia; 3TB/HIV Focal Person, West Arsi Zonal Health Department, Ethiopia; 4Oromia RHB-TB/HIV Officer, TB CARE I Ethiopia; 5Deputy Head, Oromia RHB; 6Technical Principle TB Advisor; 7Global TB Technical ���Lead, Management Sciences for Health, Arlington USA

Partners Strategize to Improve ���TB Services in Ethiopia §  Ethiopia is one of the world’s 22 high burden countries for

tuberculosis (TB). § According to the World Health Organization’s 2011 Global

TB Report, Ethiopia has a TB incidence of 261/100, 000 and prevalence of 394/100,000.

§  The USAID-funded TB CARE I project and the Oromia Regional Health Bureau (RHB) are working together to improve TB case detection and TB/HIV care by implementing a package of interventions. The interventions include: v  Improving TB operations within health facilities; v  Improving health facility staff TB knowledge and skills; v Providing staff with standard operating procedures

(SOPs) for TB diagnosis and treatment; v  Improving records and reports of staff training,

mentoring, client referrals, and TB treatment outcomes.

For more information, please contact: Habtamu Ayalneh, TB/HIV and TB Clinical Diagnosis Coordinator, TB CARE I, Ethiopia; Tel: +251-912-022148; 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.

TB CARE I Identifies ���TB Service Gaps §  TB CARE I developed a joint action ���

plan with the RHB. Together they: v Selected the pilot zone; v Conducted an assessment to ���

identify TB service gaps in health facilities; v Developed SOPs to address identified TB case

detection gaps and other TB service needs, including TB/HIV integrated care.

§  TB CARE I’s facility interventions began in January, 2011: v Trained 98 health workers and 39 out-patient

department staff on the new SOPs and basic TB clinical skills;

v Distributed 1,000 SOPs to different service delivery units of 3 hospitals and 25 health centers;

v Conducted quarterly supervisory and mentoring visits to all health facilities to ensure SOP implementation.

Improving TB Case Detection by Implementing Standard Operating Procedures (SOPs) in Selected Health Facilities in Ethiopia

Intervention started in the 3rd quarter (Jan – Mar 2011) and results documented as of April 2011.

SOPs were developed based on identified TB service gaps.

Conclusion

Developing and distributing TB case detection SOPs, followed by staff training, mentoring, and supervision, minimizes missed opportunities and improves TB case detection in health facilities. TB CARE I strongly recommends scaling up this intervention to other zones and regions to improve TB case detection and TB/HIV care in the country.

Results: Standard Operating Procedures Improve TB Suspect Identification and ���TB Case Notification Rate