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Directly observed treatment, DOTS

  • Vietnam| TB/HIV Collaborative-Thai Binh Province | Collaborative Profile
  • Computer-based Training for Tuberculosis Education in Indonesia | Publications

    To support the National Tuberculosis Program (NTP) of Indonesia in its efforts to train private health care practitioners in tuberculosis (TB) directly observed treatment, the USAID Health Care Improvement Project was asked by USAID to update and adapt for Indonesia a computer-based training product that had previously been developed for Bolivia by the USAID-funded Quality Assurance Project.

    In collaboration with the NTP, the Indonesian Medical Association (Ikatan Dokter Indonesia, or IDI), the Indonesian Midwife Association (IBI), and the Indonesian National Nurses Association (PPNI), HCI and its local partner One Comm developed a computer-based training package in Bahasa Indonesia for medical and other health practitioners. Launched in July 2011, the training program has nine modules that are based on the International Standards for Tuberculosis Care (ISTC):Cover of the Tuberculosis Training Course on CD

    1. 1) Introduction, history, and epidemiology of TB
    2. 2) Pathogenesis of TB infection and tuberculosis disease
    3. 3) Diagnosis of TB infection and TB disease
    4. 4) Treatment of TB infection and TB disease
    5. 5) Treatment of TB in children
    6. 6) Adherence to TB treatment
    7. 7) TB and HIV infection
    8. 8) Multi-drug resistant TB diagnosis and management 
    9. 9) TB infection prevention and control

    The English translation of the nine self-paced training modules developed for Indonesia may be accessed by clicking the image to the right or this link: Click to open training.

    NOTE: To close the training, click the small "x" under the bottom right corner, not the larger, red "X" in the top right corner.  For optimal viewing in Internet Explorer, set your browser to Full Screen.

  • A Success Story in TB: Improving the quality of sputum samples through better teaching & models in Bolivia | Publications

    This report describes an improvement activity in Cochabamba, Bolivia, to reduce the number of unusable sputum samples for TB diagnostic testing. The reduction was achieved by improving the process through which respiratory suspects provided samples and other techniques to help patients provide usable samples. The report is also available in Spanish.

  • A Success Story in TB: Managing medicines in DOTS boxes assures a full treatment course in El Alto, Bolivia | Publications

    This report describes an improvement activity in El Alto, Bolivia, designed to improve treatment compliance among TB patients by assuring a full dedicated treatment course. This was achieved by organizing medicines in a box reserved for each patients and by improving logistical management of medications at the health network level. This report is also available in Spanish.

  • Una Historia Exitosa Sobre control de la Tuberculosis: La Gestión de Medicamentos en Cajas DOTS Garantiza que el Ciclo de Tratamiento se Complete en El Alto, Bolivia | Publications

    Este informe corto describe una mejora ejecutada en El Alto, Bolivia, para mejorar el cumplimiento del tratamiento por tuberculosis por medio de una estrategia de asegurar la disponibilidad del curso completo de tratamiento por medio de organizarlo en cajas de medicina reservada para cada paciente y mejoramiento de la distribución de medicamentos al nivel del red de salud.  El informe está disponible también en inglés.

  • Una Historia Exitosa De Control de la Tuberculosis: Mejoramiento de la Calidad de las Muestras de Esputo a Través de la Enseñanza y Modelos Óptimos | Publications

    Este informe corto describe una mejora ejecutada en Cochabamba, Bolivia, para reducir el número de muestras de saliva que son inútiles para diagnosticar la tuberculosis a través de cambios al proceso de solicitar muestras de esputo y otras técnicas para ayudar a los pacientes a producir una buena muestra de esputo. El informe está disponible también en inglés.

     

  • Improving Tuberculosis Diagnosis and Treatment in Indonesia’s Private Sector through Computer-based Training | Publications

    The USAID Health Care Improvement Project (HCI) partnered with the National Tuberculosis Program (NTP) and professional associations in Indonesia to develop and disseminate TB CD-ROM and computer-based training packages for medical and other health practitioners. The CD-ROM training package is designed to improve diagnosis, management, and referral of tuberculosis patients in accordance with NTP guidelines. Private medical practitioners are trained in directly observed treatment, short-course (DOTS) and the International Standards for Tuberculosis Care that are part of the STOP TB strategy.

  • Community-directed interventions for major health problems in Africa | Community Resource

    In 2005, a three-year multi-country study was launched to examine how the Community Directed Intervention (CDI) approach, which had been remarkably successful in distributing ivermectin for treatment of onchocerciasis, could be used alongside ivermectin for integrated delivery (or co-implementation) of four other health interventions: Vitamin A supplementation, distribution of insecticide-treated nets, directly observed treatment, short course (DOTS) for tuberculosis and home-management of malaria. The study covered a total of 2.35 million people.

  • MDR-TB Treatment & Prevention Community | Publications

    The MDR-TB online community is a discussion forum covering all issues related to multi- and extensively-drug resistant TB. Users can seek information about and share clinical, programmatic and community-level information about early diagnosis, treatment and prevention of M/XDR-TB.

  • Online TB Infection Control Community | Publications

    This online community hosts an interactive, up-to-date discussion forum on a range of TB infection control practices and topics. The forum is a venue for users to find answers for technical and administrative issues as many TB resources are distributed through the site, and also offers a setting where experts answer questions from implementers in many different locations.

  • TB CARE II Project Web-Portal | Publications

    The TB CARE II project site introduces promising new resources to fight TB and share information about successful interventions at the country, regional, or global levels, and shares information about project resources, events, and opportunities for collaboration with TB implementing partners around the world. This site allows TB CARE II project partners, collaborating organizations, TB professionals and the general public to access information regarding recent project updates and newly developed tools and resources from different field support and core activities. For new partners and staff as well as potential collaborators, the site provides an overview of the TB CARE II project, objectives, key staff, partners, and contacts as well as links to other TB-related news and information sources.

  • Community Health Worker Assessment and Improvement Matrix (CHW AIM): A Toolkit for Improving CHW Programs and Services | Community Resource

    A key element of USAID’s strategic approach to maternal and child health (MCH) is to increase the number of functional community health workers serving in USAID priority countries by at least 100,000 by 2013. At the request of the USAID MCH team, the Health Care Improvement Project (HCI) developed a tool that defines a set of key elements needed for community health worker programs to function effectively and that evaluate programs on specific criteria, which were defined by recent literature reviews on CHW programs (see link below) and by suggesti

  • Tuberculosis Control Assistance Program (TB CAP) | Publications

    The Tuberculosis Control Assistance Program (TB CAP) is a five-year (2005-2010) cooperative agreement funded by USAID to the Tuberculosis Coalition for Technical Assistance (TB-CTA), a coalition of the major international organizations in TB control led by the KNCV Tuberculosis Foundation. 

    The TB-CTA Library contains links to many tools and guidelines developed by TB CAP and its partners, as well as country-specific products, featured in its TB CAP Toolbox CD-ROM.
  • Stop TB Partnership | Publications

    The Stop TB Partnership (formerly the Stop TB Initiative) is a network of international organizations, countries, donors from the public and private sectors, governmental and nongovernmental organizations and individuals committed to working together to eliminate TB as a public health problem. 

    The Stop TB Resource Center features a wide range of downloadable guidelines and tools for TB program implementation. Tools of particular interest for improving TB prevention and treatment include the Stop TB laboratory diagnostic tools, guides for developing surveys for social mobilization and communication for TB control, guide to community involvement in tuberculosis care and prevention, patient handbooks, and guidance on implementing public-private mix approaches.
  • International Standards for Tuberculosis Care (ISTC) | Publications

    The International Standards for Tuberculosis Care (ISTC) describe a widely accepted level of care that all practitioners, public and private, should seek to achieve in managing patients who have, or are suspected of having, tuberculosis. The Standards are intended to facilitate the effective engagement of all care providers in delivering high-quality care for patients of all ages, including those with sputum smear-positive, sputum smear-negative, and extra pulmonary tuberculosis, tuberculosis caused by drug-resistant Mycobacterium tuberculosis complex organisms, and tuberculosis combined with HIV infection.

    The ISTC are available for download in English, French and Spanish at the National TB Center web site managed by The Francis J. Curry National Tuberculosis Center (CNTC) at the University of California, San Francisco. 

  • Expanding TB and TB/HIV Integrated Services in Thai Binh Province, Vietnam | Publications

    This report provides an evaluation of an 18-month quality improvement intervention supported by the USAID-funded Quality Assurance Project (QAP) and its successor, the Health Care Improvement (HCI) Project, in Thai Binh Province of Vietnam. The province, located in the Red River’s Delta in northern Vietnam, has 1.8 million population, an annual TB case load of 1600–1800 cases, and an cumulative number of 2188 HIV-infected cases. In April 2007, QAP, in collaboration with NTP and Thai Binh Department of Health, initiated an 18-month work plan to pilot-test a model for TB/HIV integration activities at the provincial level and in all the eight districts in the province. Assistance to the intervention transitioned from QAP to HCI in 2008. The project also promoted partnerships between the TB program and other public and private health providers in order to maximize coverage of the DOTS program. A number of activities to expand TB/HIV integration were carried out, including policy development; capacity building; maintaining the continuum of care; quality assurance of services; support for public and private partnerships; strengthening the monitoring and evaluation system; and conducting information, education, and communication activities.

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