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  1. Control of tuberculosis by community health workers in Bangladesh.

    Article - En anglais

    Background Tuberculosis remains a major public-health problem in Bangladesh, despite national efforts to improve case identification and treatment compliance.

    In 1984, BRAC (formerly the Bangladesh Rural Advancement Committee), a national, non-governmental organisation, began an experimental tuberculosis-control programme in one thana (subdistrict).

    Community health workers screened villagers for chronic cough and collected sputum samples for acid-fast bacillus (AFB) microscopy (phase one).

    Positive patients received 12 months of directly observed therapy.

    Phase two (1992-94) included another nine thanas and, in phase three (1995), eight more thanas were included.

    From 1995, the treatment was an 8-month oral regimen.

    Methods In 1995-96, we analysed all programme data from 1992 to 1995.

    First we analysed phases two (12-month therapy) and three (8-month therapy) separately for proportion cured, died, treatment failed, defaulted, migrated, and referred.

    Second, we did a cross-sectional survey of tuberculosis cases in more than 9000 randomly selected households in two phase-two thanas and one non-programme thana, and analysed the follow-up of all patients treated in the programme thanas.

    Findings In the phase-two analysis, 3497 (90%) of 3886 cases identified had accepted 12-month treatment.

    In phase three, all of 1741 identified cases accepted the 8-month regimen. 2833 (81.0%) and 1496 (85.9%) in phases two and three, respectively, were cured ; 336 (9.6%) and 133 (7. (...)

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Epidémiologie, Prévalence, Campagne de masse, Agent santé, Communauté, Programme contrôle, Randomisation, Etude transversale, Evaluation, Homme, Bengla Desh, Asie, Education santé, Organisation santé

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Epidemiology, Prevalence, Mass campaign, Health worker, Community, Checking program, Randomization, Cross sectional study, Evaluation, Human, Bangladesh, Asia, Health education, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0397968

    Code Inist : 002B05B02O. Création : 12/09/1997.