Project financed by the Norwegian Grants 2009 - 2014, within the RO 19 - Public Health Initiative.
NPPSCT national database update
During the reporting period, the functional specifications regarding the update and maintenance of the National Programme for Prevention, Surveillance and Control of Tuberculosis (NPPSCT) national database have been reviewed and completed with respect to the modules that require modifications in accordance with the international requirements and recommendations in the field. Nomenclatures have been compiled, including the physicians serving the TB supervision network, updated drug lists, available genetic laboratory tests. By the end of August 2016, the national database had been updated in a proportion of 50%.
The provision of continuous, complete and quality treatment for 1,000 patients with MDR/XDR-TB
At the end of August, 662 patients had been enrolled to receive complete, correct and continuous treatment under the project. Monitoring and supervision visits have been conducted in the country, in Caraș-Severin, Hunedoara and Cluj counties.
The provision of integrated interventions for the prevention of TB transmission in poor communities and for increasing treatment adherence
Four caravans were organised in August – 3 in Călărași County and 1 in Giurgiu County – and were attended by a total of 213 persons, 118 of them Roma. So far, 8,142 persons have received information under the project, of whom 1,260 Roma people.
Patient enrolment continued, in order to ensure the provision of directly observed treatment (DOT), 93 patients being enrolled in August, with the total number thus reaching 568 individual patients, 67 of them Roma.
By the end of August 2016, 10,076 social vouchers had been distributed to patients.
The establishment of a network of functional laboratories for the early detection of drug-resistant/extremely drug-resistant tuberculosis (MDR/XDR-TB)
In August 2016, in the 20 laboratories of the nationwide PNPSCT network, fitted with modern equipment and rapid tests, 2,912 tests were carried out, as a result of which 742 patients were detected with simple tuberculosis, 67 with multidrug-resistant tuberculosis and 5 with extremely drug-resistant tuberculosis.
Since the start of rapid patient testing, 38,205 tests have been carried out, with 22,906 individual persons tested. Of these, 9,076 were diagnosed with simple tuberculosis, 776 with MDR-TB and 89 with XDR-TB.
In August 2016, the centralised procurement procedure for the Genexpert and MGIT equipment for the project extension period was ongoing, the deadline for the submission of the tenders being 19 September 2016. The specifications for the procurement of the centrifuges were drawn up in August, with the centralised procurement procedure to be launched the following month.
Also, the centralized procurement procedure for 2,896 LPA tests and 5,600 MGIT tests was underway, in order to ensure the continuity of the rapid testing activity within the TB laboratories. The deadline for the submission of the supplier tenders was 19 September 2016. In August, a new centralised order for Genexpert and Versatrek systems was sent to TB laboratories.
The delivery, installation and commissioning for the 29 size-A fume hoods were completed and the 15 size-B fume hoods were accepted. Bailment agreements have been signed with all the establishments that received laboratory fume hoods for use.
The legal procedure for the procurement of the 2 servers required for the administration of the national software for the registration, monitoring and reporting of TB/MDR-TB cases was launched.
Other activities conducted in August
The provision of directly observed treatment and of the incentives for TB patients treated in outpatient settings in order to increase treatment adherence – lists of declared relapses were retrieved from the PNPSCT national database and recommendations to enrol these patients were sent to the MDR coordinators, in order to ensure treatment adherence.
5 TB infection control (TBIC) training sessions were organised. In total, 281 persons in the specialised TB units received TBIC training.