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Improving the health of the population in Romania by increasing TB control

Project financed by the Norwegian Grants 2009 - 2014, within the RO 19 - Public Health Initiative.

Ensuring the correct, complete and quality treatment for 1000 patients with multidrug resistant and extensively resistant tuberculosis (MDR / XDR TB)

In May 2016, the enrollment of patients continued in the two MDR TB centers in Bucharest and Bisericani, also in TB centers in the country. At the end of April, a total of 531 patients were enrolled in complete, accurate and continuous treatment.
Between May 25th and June 2nd, 2016, monitoring visits took place in Timis, Dolj, Arges, Calarasi and Constanta counties, to discuss cases of MDR TB, assessing the state of enrolled patients and the results of rapid diagnosis activities.

Providing integrated interventions to prevent transmission of TB in poor communities and to increase treatment adherence

From 13th to 14th of May, 2016, at the “Marius Nasta” Institute for Lung Diseases in Bucharest, training of trainers sessions were organized, attended by 12 TB specialists and community health workers. A monitoring visit was made during the training.

This month, 19 information caravans (IEC) took place in several counties: 9 in Calarasi, 3 in Neamt, 6 in Giurgiu and 3 in Dolj. These sessions have been attended by a total of 1,021 people, of which 259 Roma. So far, in the project, a total of 5,479 people were informed, including 495 Roma.
For the July to September 2016 period, were planned other 12 IEC sessions in Gorj counties, besides the 6 previously planned for this period.

By the end of May, 2016, a total of 3,494 food coupons worth 34 940 lei, were distributed to patients. Also, 1,574 food coupons, worth 15 740 lei, were about to be distributed to other patients.

Establishing a network of functional laboratories for early detection of MDR / XDR TB

Of all patients screened in May through rapid diagnosis methods in NPPSCT network of laboratories, 783 were diagnosed with sensitive tuberculosis, 85 with multidrug-resistant TB and one with TB drug resistance.
Overall, between March 2015 and May 2016, 17,671 unique patients were screened through rapid diagnosis methods in the project, of which 6,805 were diagnosed with sensitive TB, 603 with drug resistance (MDR TB) and 21 extremely drug resistant TB (XDR TB).
To ensure the continuity of rapid testing activity in the NPPSCT laboratories within the project 2,896 LPA tests and 5,600 MGIT tests will be purchased.

This month, all 300 desktop computers purchased in project were delivered to TB units in the country. TB dispensaries and laboratories from 165 TB Hospitals have been equipped with desktop computers in the project.
The purchase of two IT servers, necessary for national management software for registration, monitoring and reporting of TB / MDR TB cases was scheduled for the extension period of the project (April 1st, 2016 – March 31st, 2017).

Other activities carried out in May 2016

597 patients met the eligibility requirements to receive food coupons to increase adherence to treatment, of which 100 new patients. To date, a total of 781 patients were reached in the project.

TB units in the country received UV lamps procured under the project. Also, training courses were organized on TB infection control.

WHO Technical assistance missions to improve the NPPSCT management were prepared and will begin in June-July. Discussions were held in this matter with the stakeholders who will be involved in these missions.