Guidelines for Management of Tuberculosis and Leprosy in Kenya, July 2013
(2013; 159 pages)

Abstract

To address challenges posed by the tuberculosis epidemic in the era of HIV, the Ministry of Public Health and Sanitation through the DLTLD has identified areas for increased support namely; Strengthening of human resources capacity at all levels of Division of Leprosy, Tuberculosis and Lung Disease (DLTLD) for effective coordination of control activities, decentralisation of control services to the community, strong collaboration between TB and HIV control programs to promote delivery of integrated TB/HIV services, promotion of private– public partnerships to increase the number of non - public providers integrated into the TB service provider network, sustained public health education campaigns to promote early care seeking and adherence to treatment at community level, and health care worker training and support for better TB case management by health care providers.

This guideline is a revision of earlier versions produced in 1994, 2000, 2003, 2006 and 2009 and marks yet another step forward for the DLTLD. It has been presented in an easy to read form and includes a section on pharmacovigilance and enhancement of the paediatric TB section introduced in the previous edition as a step towards improvement of quality of care. The immediate short-term goal is to sustain 70/85 target that Kenya recently achieved (detect 70 % of infectious TB and cure 85% of the detected cases) and then sustain and improve this effort over a long time to achieve the Millennium Development Goals (MDGs). These guidelines should be used as technical reference material by all health care workers involved in TB and Leprosy care and can also be used for training of health care workers in conjunction with other training materials.

These guidelines includes an enhance leprosy case management chapter with colour plates and practical approach to case management. It is however recognized that other mechanisms need to be put in place to facilitate active contact tracing to improve case finding.

 
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