Saturday, February 8, 2014

Tuberculosis is a Notifiable Disease in Bnagladesh

Ministry of Health and Family Welfare (MoH&FW), Government of the People's Republic of Bangladesh declares Tuberculosis a Notifiable Disease

Tuberculosis is a major public health problem in Bangladesh. Huge number of  people suffer from Tuberculosis every year. Still, a substantial number of patient  died from TB.
Moh&FW notify Tuberculosis as a Notifiable Disease

Sunday, March 31, 2013

Bangladesh celebrates World TB Day 2013

Dr. Ahmed Parvez Zabeen (5th from right), Public Health Specialist is participating in the World TB Day, 2013 rally.




A colorful rally brought out on the World TB Day 24 March, 2013 in the morning. The rally started from the front of National Museum, Shahbagh, Dhaka and ended in front of Doel Intersection, Dhaka parading through different streets of the cities. Carts, rickshaws (local vehicles) and microphone were used to inform people about Tuberculosis (TB) and creates demands for TB Services in the country. 

The theme of the World TB Day 2013 in English was STOP TB in my life time and in Bengali was যতদিন বাঁচব, যক্ষ্মাকে রুখব |

Thursday, July 5, 2012

TB/HIV collaboration initiatives in Bangladesh

Dr. Ahmed Parvez Zabeen is receiving a crest after presenting a paper on TB/HIV collaboration - a way-forwards in Health System Strengthening in Bangladesh at 31st Annual General Meeting and Scientific Conference held on  February 04, 2010 at BCPS Auditorium, Mohakali, Dhaka, Bangladesh

TB/HIV collaboration – a way forwards towards Health System Strengthening in Bangladesh.

Zabeen AP 1, Hoque N 2, Hiron M Md3


Introduction:
Bangladesh is number sixth TB-High Burden Countries in the world. Concentrated epidemics are seen among ID users.

Objectives:  
Establish collaboration between National Tuberculosis Control Program (NTP) and National AIDS and STD Program (NASP) to reduce the burden of tuberculosis and HIV in population affected by both diseases.

Methodology:  
NTP has taken up necessary actions for collaboration with NASP. NTP initiated the official approval of the Director General of Health Services and after that in last one year it has developed policy for collaboration, develop the National TB/HIV guideline, and orientation workshop on DOTS has been conducted with policy makers of NASP, partners and different levels of health workers who are working in HIV/AIDS. 

Results:
Director General of Health Services approves TB/HIV co-ordination committee. TB/HIV working group has met three times to develop the National TB/HIV Guideline. Ten workshops were conducted with 261 different levels of policy makers of NASP partners on DOTS in 2008. Nineteen workshops were conducted with 549 participants with different levels of TB/HIV health care workers on DOTS last year. One VCT center has been established at National Institute of the Disease of Chest and Hospital, Dhaka.   

Conclusion:
Different activities at policy and service delivery level leads to effective TB/HIV collaboration in Bangladesh.


1 Divisional Consultant - ACSM, Dhaka Division, National Tuberculosis Control Program (NTP)

2. Assistant Professor, Respiratory Medicine, National Institute of the Disease of Chest and Hospital (NIDCH), Dhaka

3. Director-cum-Professor, National Institute of the Disease of Chest and Hospital (NIDCH), Dhaka

Friday, June 29, 2012

Treatment outcome of Tuberculosis in Bangladesh in 2010 (Cohot 2009)

Tuberculosis Treatment Outcome in 2010 (Cohort 2009).jpg




National Tuberculosis Control Program, Bangladesh informed that the treatment success was 91% (cure 90% and complete 1%) and unusual outcomes 9% (died 4%, failure 1%, defaulted 2%, transfer out 2% and others less than 1%) among Smear Positive Pulmunary Cases (SS+ve) of cohort 2009.

Tuberculosis Case Notification in 2010 in Bangladesh

Tuberculosis Case Notification in 2010.jpg


National Tuberculosis Control Program, Bangladesh informed that in 2010, 105623 new Smear Positive (SS+ve) pulmonary cases, 4540 Relapse cases, 21418 Smear Negative (SS-ve) pulmonary cases, 23428 Extra-Pulmonary TB (EPTB) cases and 3228 other forms of cases were diagnosed. 

The proportion of smear positive pulmonary cases notification  was high in 2010 in Bangladesh. 

Friday, April 6, 2012

Practical Approach to Lung Health (PAL) in Bangladesh

Dr. Ahmed Parvez Zabeen presented a paper titled ‘Practical Approach to Lung Health (PAL) − A way forwards towards Health System Strengthening in Bangladesh’ in the 32 Annual General Meeting and Scientific Conference of Chest and Heart Association of Bangladesh (CHAB) on February 17, 2011 at BCPS Auditorium, Mohakhali, Dhaka, Bangladesh.

Title:

Practical Approach to Lung Health (PAL) – a way forwards toward Health System Strengthening in Bangladesh.

Zabeen AP1, Hoque N2, Akhter H3
1Divisional Consultant, Dhaka Division, National Tuberculosis Control Programme (NTP), 2Assistant Professor, Respiratory Medicine, National Institute of the Disease of the Chest & Hospital (NIDCH), 3 Honorary Consultant, Microbiologist, TB STUDY GROUP(TSG), Dhaka.

Introduction
Bangladesh is number sixth TB high burden countries (HBCs) in the world. The implementation of Practical Approach to Lung Health (PAL) is an approach under Health System Strengthening (HSS), one of the components Stop TB Strategy. The burden of respiratory diseases is high and represents 50% of the outpatients at PHC in Bangladesh.PAL means quality diagnosis and treatment of common respiratory illness (over the age of five years) at primary healthcare facility (PHC).

Objectives
Successful development and implementation of PAL increases TB case detection, improves care quality of acute and chronic respiratory patients at first level of health care facility (PHC), decreases unwanted drug prescription particularly antibiotics and adjuvant drugs, and reduces drug prescription cost per patient.

Methodology
NTP has taken up necessary actions for development and successful implementation of PAL in the country such as situation analysis and mobilization of resources; in near future constitute National PAL Working Group, develop guideline and training materials and supply equipments. PAL initiative will be piloted and gradually scaled up.


Results

An international expert visited National Tuberculosis Control Programme (NTP), Bangladesh assessed the situation and opined PAL can be successfully implemented in
Bangladesh. Following situation analysis NTP has placed a PAL as one of the Service Delivery Areas (SDAs) under The Global Fund (TGF), Round 8 and subsequently also included in TGF Round 10 proposals, TGF approved these proposals including the PAL.

Conclusion
PAL can be successfully implemented in the country with the expected results, for quality improvement in the management respiratory patients including increase in TB case detection.