Title:
Factors Influencing the Prevalence of Multi-drug Resistant Tuberculosis in Thailand
Authors:
Bhumiwat, Manussawinee
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
x, 51
Language:
En
Subject:
Health and Poverty
Keywords:
MDR TB, XDR TB, multi-drug resistant TB, epidemiology of tuberculosis, TB infection control, burden of MDR TB, TB prevention, DOT, drug resistant tuberculosis, MDR TB management, South East Asia, TB in Thailand, treatment adherence of TB
Abstract:
Thailand was ranking as one of the global highest MDR-TB burden worldwide for several years4. Although the NTP's performance has been improving continuously for treatment of TB patients, there is now increasingly concern on the emerging of MDR-TB cases. By the year 2015, there was an increase of estimated MDR/RR-TB cases among notified pulmonary TB cases while TB case notification rate of all forms in 2015 was decreased. This thesis aimed to identify the potential factors which can affect MDR-TB prevalence and possible prevention strategies against MDR-TB in Thailand and explore experiences about MDR-TB prevention and control of other countries which can be applicable in Thailand's situation. This is a literature review with desk study, using the analytic framework to identify the potential factors associated with MDR-TB for find out the recommendations and interventions. The major findings show many relationships among different kinds of factors. The potential factors for MDR-TB consist of the previous TB treatment history, socio-economic factors with especially mobility and many of health system related factors. Most of the previously-treated MDR-TB cases used to develop drug resistance from inappropriate treatment and poor treatment adherence. Moreover, there are poor access to get health services and resulting to delayed diagnosis and treatment. The thesis concluded that primary prevention like TB Health promotion and preventive activities for MDR-TB is recommended to promote self-awareness and increase knowledge for good attitude for DOTS and TB care. Early case detection and strictly DOT are also highly suggested to prevent and decrease MDR-TB prevalence.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Thailand
Region:
Southeast Asia
Training:
Master of International Health
Category:
Research
Right:
@ 2017 Bhumiwat
Document type:
Thesis/dissertation
File:
89Tf9ewCl5_20180415113048225.pdf