National TB Control Program in the Republic of Uzbekistan

1
National TB Control Program in the Republic of
Uzbekistan
2
Trend of TB incidence and detectability of
eliminators of bacilli
3
Trend of TB mortality and treatment outcomes
4
Regional distribution of non-adherent TB patients
5
MDR TB in Uzbekistan

• 13 among new cases of TB
• 45 among re-treatment TB cases

6
Influence of the quality of DOTS implementation
on MDR TB prevalence
7
Influence of the quality of DOTS implementation
on MDR TB prevalence
8

• 4,335,600 (on average, 150 per patient
  annually) was utilized to improve the National TB
  Control Program in Uzbekistan during
  implementation of the Global Fund grant
  (2005-2007)

9
National TB Control Program Key achievements

• TB management group of the Ministry of Health
  (Republican DOTS Center) is available
• National reference laboratory is in place for
  coordinating laboratory network in the country,
  external quality control, conducting
  bacteriological research and drug sensitivity
  tests
• Electronic system for epidemiological
  surveillance is available

10
National TB Control Program Key achievements

• Drug management system is in place. Centralized
  procurement of the four component anti-TB drugs
  in patient kits
• Monitoring and evaluation system is available.
• TB control and prevention training center is in
  place
• Involvement of the general medical network
  specialists in detection and treatment of
  patients in support phase
• DOTS implementation in penitentiary system

11
???????? ?????????? ???????????? ????????? ??????
? ????????????

• Involvement of mahalla in TB communication
• Start of the pilot MDR TB project in Tashkent
  City (60 patients a year)
• Planning the pilot MDR TB project in penitentiary
  system (100 patients a year)
• Collaboration between TB and HIV/AIDS programs

12
Challenges

• Insufficient detectability of eliminators of
  bacilli
• Large number of non-adherent patients,
  particularly in the cities
• Absence of the unified registration and reporting
  system for DOTS and DOTS plus patients