Title:
Review of the Access to Tuberculosis Care in Doolo Zone in the Somali Region State of Ethiopia
Authors:
Mohamed, Elshafie Mohamed Ahmed
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
x, 40
Language:
En
Subject:
Health and Poverty
Keywords:
Tuberculosis, Pastoralists, Doolo Zone, Somali, Access, Ethiopia
Abstract:
Tuberculosis is a major public health issue in Doolo Zone with the highest incidence, prevalence and the lowest case detection rate in Ethiopia. The study aimed at analysing the access to TB services in DZ, to give recommendations to Somali regional sate, the national TB programme and the agencies involved in TB. The literature review, desk review and TB data analysis were the methods used. The access to TB care in DZ was found to be great challenge. The health strategies are failing to reach the pastoralists. The data suggested wide inequity in utilization of the TB services in DZ. The major reasons identified were; lack of well-functioning and equitably distributed TB service centres, far distances, lacking public transport, high direct, indirect and opportunity cost. In addition, low quality of available diagnostics services, narrow coverage of outreach and lacking good coordination are supplier related factors of limitation. The low literacy levels, gender, poverty, social believes, inter-clan politics and conflict and mobile lifestyle are limitation factors from the client’s side. These factors could be addressed through some proven or promising effective measurements such as: create policies that address the high cost and adapt it to the pastoralists. Strategically placed TB centres need to be created. Improvement of the coordination is required. TB screening campaigns are a proven effective strategy. Self-administered treatment and TB village could be an effective strategy too. Trainings, supervision and providing Xpert are required. An instructional video for sputum production and submission, can improve the laboratory screening. Qualitative studies are needed to bridge the gap in knowledge.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Sudan
Region:
North Africa
Training:
Master of Public Health
Category:
Research
Right:
© 2017 Mohamed
Document type:
Thesis/dissertation
File:
NwBhyyenvZ_20180404111238547.pdf