Program Areas

Clinical Services

NUMAT TB awareness raising efforts on sack of grain

NUMAT printed information and images about TB on sacks of grain distributed throughout Northern Uganda.

Tuberculosis

The northern region of Uganda has a high tuberculosis (TB) burden as a result of widespread poverty, poor living conditions in overcrowded internally displaced persons camps, and regionally high HIV prevalence. Prevention and management of TB and TB/HIV co-infection in this post-conflict environment was essential for improving quality of life for patients living with HIV, TB, or both.


Approach

  • Sustain the nationally-adopted strategy of community-based directly observed therapy, short course (CB-DOTS)
  • Work with the established health system and structures
  • Partner with the National TB Leprosy Control Program (NTLP), the Stop-TB Partnership Uganda, and the zonal office of the NTLP
  • Maintain a high level of surveillance for suspected cases of multi-drug resistant TB
  • Encourage further integration between HIV and TB activities at all levels


Specific Activities

  • Trained health workers in TB and TB/HIV activities
  • Supported joint TB and TB/HIV planning at the district level
  • Assisted with record management
  • Adapted, printed, and disseminated information, education, and communication materials
  • Helped the zonal TB and leprosy supervisor (ZTLS) conduct supportive supervision and hold quarterly performance review meetings
  • Sustained TB and HIV infection control at the facility level

Results

As a result of NUMAT’s efforts in Northern Uganda, TB case detection and treatment success rates rose steadily, and surpassed the World Health Organization global targets of 70% case detection and 85% treatment success in high-burden countries. In the fourth year, the project registered the highest achievement in the proportion of TB patients tested for HIV. However, a minimal reduction in treatment success rate and proportion of TB/HIV co-infected patients started on cotrimoxazole preventive therapy was noted in the same year (compared to the year before), as the country experienced stockouts of septrin and anti-TB drugs.

To build on these achievements and focus on sustainability of TB control interventions in the post-NUMAT era, the project continued to support the strengthening of community-based directly observed treatment short course (DOTS) activities in the districts of Kitgum, Agago, Alebtong, Kole, Otuke, Lamwo, Pader, Gulu, Amuru, Oyam, Apac, Lira, Dokolo, and Amolatar.


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