Assessing the challenges of MDRTB control in Kenya
Document type: mthesis
Download file(s):
185334 (884 KB)
Abstract:
BACKGROUND: The WHO has acknowledged Multi-drug resistant tuberculosis (MDRTB) as a threat to global TB control. MDRTB is difficult and challenging to treat, with access to diagnosis and treatment being major constraints especially in developing countries like Kenya. STUDY OBJECTIVE: To assess the progress and challenges of MDRTB control in Kenya and propose informed recommendations to improve the quality of MDRTB control for the country. METHODOLOGY: To better understand MDRTB, this study will examine the factors influencing the development of TB drug resistance, and how these eventually lead to MDRTB. In exploring MDRTB control, this study looks at documented best practices as found in the literature and from reputable global organizations in TB control like the WHO and the IUATLD. These main areas identified include knowledge of local TB drug resistance patterns by use of DRS, quality DOTS expansion and enhancement, enhanced case detection for MDRTB, infection control, socioeconomic incentives and research. The study then looks at each of these areas in Kenya so as to assess the current progress and generate specific recommendations for better MDRTB control. FINDINGS: This study found that MDRTB control is a big challenge in Kenya and needs more attention. DOTS expansion for TB control has been progressing well, but access to diagnosis and treatment of MDRTB is still very poor. The major constraints to this are lack of technical capacity and financing for MDRTB control activities. CONCLUSION: MDRTB is a big threat to TB control in Kenya and the DLTLD needs to invest in all the components identified in this study to better control MDRTB.
Authors:
Kitheka, M.M.
Country:
Kenya
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
disease prevention and control
,
health services
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
xii, 76
Year:
2009
Region:
East Africa
Right:
© 2009 Kitheka
Subject:
Health and Nutrition
Title:
Assessing the challenges of MDRTB control in Kenya
Training:
Master of Public Health / International Course in Health Development (ICHD)