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Djibouti results Task force on impact measurement Geneva, 23-25 September Dr Said A. Guelleh

Identifying all tuberculosis cases detected in the health system: A new approach to revisit the case detection rate. Djibouti results Task force on impact measurement Geneva, 23-25 September Dr Said A. Guelleh NTP Director Djibouti. Results.

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Djibouti results Task force on impact measurement Geneva, 23-25 September Dr Said A. Guelleh

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  1. Identifying all tuberculosis cases detected in the health system: A new approach to revisit the case detection rate Djibouti results Task force on impact measurement Geneva, 23-25 September Dr Said A. Guelleh NTP Director Djibouti

  2. Results • 11 Non-NTP facilities deliver care to chest symptomatic patients in the country • These include: the police (FNP) and private clinics • XX private laboratories provide diagnostic services to chest symptomatic patients in the country

  3. Results • A total of 206 TB suspects sought care in non-NTP services: 143 in private/public clinics and 63 in private laboratories • Of these, 24 were finally diagnosed as active TB: 15(62.5%) smear positive, 1(4%) smear negative, and 8(33%) extra-pulmonary • 13.6% of diagnosed cases were non-nationals

  4. Place of referral • The only place of referral is Paul Faure centre

  5. Delay (in days) from onset of symptoms till treatment in the non-NTP cases

  6. P>0.05

  7. Nationals/non-Nationals • The proportion of Non-Nationals was significantly higher in NTP compared to Non-NTP (22% and 13.6%, respectively). This is due to the fact that non-nationals seek mainly care at Paul Faure centre

  8. Inventory Method

  9. Capture Re-Capture Method

  10. Capture Re-Capture Method

  11. Conclusions and recommendations • A high case detection rate was reported using the inventory and capture re-capture methods • It was possible to carry out a comprehensive survey due to: • The small population size • The small size of non-NTP providers in the country • The non-nationals’ preference to seek care mainly at the NTP services

  12. Conclusions and recommendations • Verification of diagnosis made by the non-NTP providers was possible as the majority of their suspects were diagnosed at NTP • The cases detected in both sectors showed a high agreement between NTP and Non-NTP diagnosis

  13. Conclusions and recommendations • Sustaining the modified lab and suspect registers in the non-NTP facilities would allow: • Detecting all cases in the country • Establishing a system to assess the proportion of cases detected in the NTP

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