Abstrakt

Contribution of Public-Private-Mix in Tuberculosis case finding in Afghanistan

Azizullah Hamim, M Sayedi, Q Qader, Moinullah Zafari, L Manzoor, N Ahmadzada and K Rashid, P Suarez

NTP and CTB trained healthcare workers on TB service delivery, distributed anti-TB drugs, laboratory consumable and DOTS packages which included educational materials, sputum sample transferring materials and medication boxes with patients' entire treatment regimens. NTP and CTB conducted regular supervision and monitoring to urban DOTS HFs. Patients received free diagnosis and treatment in public and private HFs. NTP and CTB evaluated the role of PPP on TB case notification and outcomes, reviewed TB data from 2015 - 2019 and compared it with national TB surveillance data. Results and lessons learnt: DOTS coverage reached 52% (148 out of 282 HFs) in 2019; 11,500 TB cases notified in 2019 compared to 5,519 in 2016 (P-value< 0.00001). Of the 11,500 cases; 4,090 (2,177 in 2015) were bacteriologically confirmed TB (See Table 1). Among 15,500 TB; 2,922 (25%) were detected by the private health sector that was 329 in 2015. The treatment success rate increased by 6% and reached to 87% at the end of 2018.