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Tuberculosis

Tuberculosis

In Bangladesh, TRAction is working to address key challenges that threaten to hinder the country’s progress in its fight against Tuberculosis. Rapidly growing urban areas and slums face under-diagnosis and low levels of treatment of sputum positive cases. Rising rates of childhood TB reflect the inattention to its diagnosis and management. All these problems are compounded by poorly resourced government health facilities with little investment in infection control. Additionally, TB services need to be extended to socially disadvantaged, marginalized populations and work places (e.g. prison), and greater coordination is required between private providers and the public sector. Other challenges that need to be tackled are the detection of smear negative and extra pulmonary TB cases, the prevention of XDR-TB, the expansion of diagnostic capacity and the strengthening of the health system in order to facilitate scaling up of MDR-TB management.  TRAction is currently funding six studies to investigate the impact of interventions aimed at controlling Tuberculosis in Bangladesh. These studies explored the spread of Tuberculosis in a number of different contexts including urban slums, prisons, rural areas, and children.  The findings from the research will be used to develop and implement more effective Tuberculosis interventions as well as to influence health policy decisions at the local and national level.
 

Key Results

A number of interesting results emerged from the diverse range of TRAction-funded TB studies, including:

  • Following an intervention to improve active case finding, the number of suspected TB cases increased, and case detection increased by 12% from the baseline. The case detection rate was 84% (compared to national rate of 68%) among persons of reproductive age.
  • Following the implementation of several TB interventions, awareness regarding child TB symptoms and subsequent management among target populations increased significantly compared to baseline.
  • Following a TB awareness campaign in prisons, knowledge regarding causative agent of TB increased from 11% to 45%, knowledge regarding the source of free treatment for TB increased from 37% to 74%, knowledge regarding treatment duration for TB increased from 47% to 72%.

 

Our Partners

 

Events

Collaborative Efforts

Effects of Nutrition on TB

Asim (25 years old) from Chittagong, sits in a hospital bed in Dhaka, Bangladesh, where he has been confined with tuberculosis for the last six months. © 2014 Probal Rashid, Courtesy of Photoshare
Effects of Nutrition education and supplementation on TB patients

The aim of the study is to conduct an assessment of the effect of nutrition education and micronutrient supplementation on the biochemical and immunological markers and quality of life of pulmonary tuberculosis patients in Bangladesh.

Implemented by International Centre for Diarrheal Disease Research (icddr,b)

Location: Narayanganj district and Gazipur district, Bangladesh

Detecting TB using Gene Xpert technology

A nurse examines a patient's medication chart at the National Institute of Diseases of Chest and Hospital in Dhaka, Bangladesh. © 2014 Probal Rashid, Courtesy of Photoshare
Detecting Tubercuolosis using Gene Xpert technology

The aim of the study is to assess the feasibility, usefulness and cost of Gene Xpert technology to increase case detection with tuberculosis and MDR-TB among smear negative pulmonary and extra pulmonary tuberculosis suspects in different public health facilities in Bangladesh. 

Implemented by International Centre for Diarrheal Disease Research (icddr,b).
 
Location: Bangladesh

TB Interventions in Slums

Children in Dhaka, Bangladesh, search at a local garbage dump for trash that they can sell. © 2015 Probal Rashid, Courtesy of Photoshare
Tuberculosis Interventions in Slums and Urban Areas

TRAction is funding research examining the effectiveness of tuberculosis (TB) interventions and services in urban areas of Bangladesh.

Implemented by International Centre for Diarrheal Disease Research (icddr,b).

Study Location: Dhaka, Bangladesh

 

Childhood TB Management

Patients sit in the non-paying sick ward at the National Institute of Diseases of Chest and Hospital in Dhaka, Bangladesh. © 2014 Probal Rashid, Courtesy of Photoshare
Scaling up of management of childhood tuberculosis in Bangladesh

TRAction is funding a study examining the effectiveness of tuberculosis (TB) interventions and services whose aim is to improve case control of tuberculosis in children in Bangladesh.

Implemented by International Centre for Diarrheal Disease Research (icddr,b)

Study Location: Dhaka, Bangladesh

TB Management in Prisons

Suruz Ali (age 25) sits on his bed in the non-paying sick ward at the National Institute of Diseases of Chest and Hospital in Dhaka, Bangladesh. He has been in hospital for the last six months and has been suffering from tuberculosis (TB) since 2012. He takes medicine at home to be cured from MDR-TB (Multi Drug Resistant Tuberculosis), but he did not continue to take it. Now he has returned to this hospital.
Scaling up screening, detection and management of tuberculosis in Bangladeshi prisons

TRAction is currently funding a research study in Bangladesh exploring the effectiveness of an active screening strategy in prevention of tuberculosis transmission among prisoners incarcerated across 68 penal institutions country-wide.

Implemented by International Centre for Diarrheal Disease Research (icddr,b).

Study Location: Bangladesh

TB Detection in Rural Areas

Sukur Miah (45) sits in a hospital bed in Dhaka, Bangladesh, suffering from an acute breathing problem. © 2014 Probal Rashid, Courtesy of Photoshare
Tuberculosis Detection in Rural Areas

TRAction is currently funding a research study in Bangladesh exploring the effectiveness of multiple case detection strategies for Tuberculosis (TB) in rural Bangladesh.

Implemented by International Centre for Diarrheal Disease Research (icddr,b)

Study Location: Bangladesh

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