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Title: Management of paediatric tuberculosis in provincial and district hospitals in Afghanistan
Authors: Delawer, F.M.
Isono, M.
Ueki, H.
Zhuben, M.
Zafari, M.
Seddiq, M.K.
Habib, H.
Ayoubi, M.K.
Issue Date: 2013
Language: English
Abstract: Case detection, diagnosis and treatment of tuberculosis [TB] in children are challenging issues worldwide. This study in Afghanistan aimed to evaluate paediatric TB case management, including contact investigation, at health facilities where all diagnostic processes were available. In 7 out of 8 regions of the country 1 province was selected. Documents used for management of paediatric TB cases were reviewed in 15 distinct hospitals and 8 provincial hospitals in the selected provinces. The key issues which emerged were: a low suspect rate among total outpatients [0.4%] and a very low suspect rate among children aged < 5 years; low performance of suspect management [68.5% suspects received further examinations]; low utilization of other diagnostic methods; a high early defaulter rate [14.0%]; and insufficient coverage of contact management [74.0%]. This survey indicated that the Afghanistan national TB programme needs to develop plans to improve the quality of diagnosis, suspect management and contact management in paediatric TB cases
Description: 698 - 703
Keywords: Pediatrics
Hospitals, District
Disease Management
Retrospective Studies
Child
Subject: Tuberculosis
URI: http://www.who.int/iris/handle/10665/118528
ISSN: 1020-3397
Other Identifiers: http://applications.emro.who.int/emhj/v19/08/EMHJ_2013_19_8_698_703.pdf
Appears in Collections:EMRO Journal Articles (EMHJ)



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