Title:
Low Case Detection Rate of TB In Public Health Sector of Afghanistan
Authors:
Farid, Mohammad Basir
Year:
2015
PAGE:
ix, 33
Language:
En
Subject:
Health and Poverty
Keywords:
Tuberculosis, TB, Afghanistan, Low Case Detection, Barrier, Best Practice, Poverty, Illiteracy
Abstract:
The burden of TB is very severe in Afghanistan due to high incidence, prevalence, and mortality. Afghanistan is the second highest TB-burdened country in the Eastern Mediterranean Region and one of the 22 highest TB-burdened countries in the world. The foundation to the high burden of disease in Afghanistan is laid by the low case detection rate of TB. The contributing factors for low case detection rate of TB in Afghanistan have divided in three categories. The demand side contributing factors for the low case detection rate of TB are poor knowledge about disease due to illiteracy, iinaccessibility to diagnostic service due to physical distance and lack of proper transportation, and unaffordability due to poverty, illiteracy, joblessness and extra cost. The contributing factors on the supply side for the low case detection rate of TB in Afghanistan are minimum staff numbers, poor knowledge about disease, low staff satisfaction and motivation, insufficient infrastructure, non-functional laboratory and unavailable diagnostic test, poor counseling and physical examination due to limited consultation time, and poor knowledge in planning, implementation, evaluation and reporting. Stigma against TB patients, geographic barrier and unpleasant climate, frequency of natural disasters, and unstable proportional security in Afghanistan are contextual factors which create barriers for both health providers and clients and thereby contribute to the low case detection rate of TB. Besides the mentioned contributing factors, unfortunately there are no best practices such as prioritization of key affected populationon, contact investigation, and public private mix to compensate the existing gaps.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Afghanistan
Region:
South Asia Central Asia
Training:
Master of Public Health / International Course in Health Development/(MPH/ICHD)
Category:
Research
Right:
© 2015 Farid
Document type:
Thesis/dissertation