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Improving the health of the population in Romania by increasing TB control

Project financed by the Norwegian Grants 2009 - 2014, within the RO 19 - Public Health Initiative.

The provision of integrated services for the prevention of tuberculosis (TB) transmission in poor communities and for the increase of treatment adherence

During September, two information (IEC) caravans were organised in Dolj county, where 100 people participated, out of which 3 were Roma. Until now, from the beginning of the project, 8 242 persons out of which 1 263 Roma received information in the caravans.

Until the end of this month, in 2016 a total number of 1 500 vouchers were distributed to the community nurses and Roma mediators, who organised IEC caravans during January – August 2016. To ensure the directly observed treatment (DOT), in the project were enrolled until September 654 unique patients, and during September 91 patients were enrolled.

Until the end of September, 12 008 social tickets were distributed and another 132 tickets were about to be distributed, and for the DOT supporters who monitored the patients in the 6 counties were distributes 10 400 vouchers.

Establishing a functional laboratory network for the early detection of the multi drug resistant/extensively resistant TB at drugs (MDR/XDR TB)

During this month, the MDR/XDR TB testing activity with rapid diagnostic tests took place in 20 laboratories in the National Programme for Prevention, Surveillance and Control of Tuberculosis (NPPSCT) network: NRL Bucuresti, NRL Cluj-Napoca, TB laboratories in Bacău, Brașov, Constanța, Sibiu, Timișoara, Iași, Baia Mare, Leordeni, Sf. Ștefan Hospital in Bucharest, Leamna, Călărași, Galați, Târgoviște, Drajna, Deva, Tg. Mureș and Focșani. With the rapid diagnostic techniques – Genexpert, LPA, MGIT and Versatrek, in September were tested 2641 patients. After the tests, 614 were detected with TB and 27 with MDR TB. In September, none of the tested patients was detected with XDR TB.

From the beginning of the activities, in the TB laboratories equipped with modern equipment within the project there were done 40 846 tests for rapid diagnostic. Out of the total 24 328 unique patients tested in the project (the period March 2015 – September 2016), 9 691 were detected with sensitive TB, 803 with MDR TB and 89 with XDR TB.

Ensuring a directly observed treatment and the incentives for the TB patients treated in ambulatory, to increase the treatment adherence

From the beginning of the project and until the beginning of September, 1060 unique patients meeting the eligibility conditions in order to receive social tickets to increase the treatment adherence were enrolled in the project and received social tickets. Out of these, 351 patients are enrolled and benefit of support within the project for about one year, and 195 finished the treatment.

Other activities developed in September

In September continued the enrolment of patients in the 2 MDR TB centres in Bucharest and Bisericani (Neamț county), as well as in the rest of the country. As such, at the end of the month, 710 patients were enrolled in the complete, correct and continuous treatment within the project.

In order to establish a basic infrastructure for TB infection control in specific facilities and training of staff, four sessions in the area of TB Infection Control were organized – one in Bucharest and 3 in the country.

Within the activity of providing technical assistance by the World Health Organization (WHO) for improving the NPTPSC management, the mission of revision of the national guide regarding the Practical Approach to Lung Diseases, through which the algorithm of TB suspects detection among the general population, referral to the specialist, involving the primary health care network regarding TB in Romania.