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Tuberculosis

Tuberculosis Situation

Tuberculosis remains a major public health problem causing unnecessary morbidity and mortality and Uganda’s response to the disease is guided by the National TB strategic Plan 2016-2020.
The 2014/2015 national TB disease prevalence survey found a higher rate of disease burden than previously estimated at 253 and 234 per 100,000 for prevalence and incidence respectively versus 159 and 161 per 100,000 in the previous estimates. The estimated treatment coverage is thus low at about 51% with nearly 41,000 TB cases “missed” in 2015.
The national TB disease prevalence survey revealed a higher rate of TB in urban areas as opposed to rural areas and in men compared with women. The TB treatment success rate in Uganda is suboptimal. In the 2015 cohort, overall treatment success rate was 74% but in pulmonary bacteriologically confirmed cases cure was reached in only 51% of cases.
The outcomes for TB/HIV are good: HIV testing rates in TB patients is high at 97% and of those who test positive for HIV, 88% are provided with antiretroviral treatment (ART). Similarly, TB screening rates in HIV infected persons in care are high with 92% of these patients covered in 2015; however, the provision of TB preventive therapy (IPT) is low at 22%. The identification of drug resistant TB is also suboptimal. In 2015 only 419 (17%) of an estimated 2,492 rifampicinresistant/MDR-TB cases (RR/MDR TB) were identified. Of the identified RR/MDR-TB cases only 83% (351 of 419) were placed on treatment.
 

Global Fund Intervention

Goal

To reduce the incidence by 5% by 2019/20: from 234/100,000 in 2015/16 to 222.3/100,000 by 2019/20

Strategies

  • Early diagnosis and treatment of all persons of all ages and gender.
  • Systematic screening of high-risk groups and contact tracing.
  • Strengthen and operationalize community system for TB control
  • Improve community engagement to enhance case finding and treatment outcomes amongst Karamoja nomadic populations
  • Strengthen and expand Public Private Mix (PPM) in line with national policy
  • TB-HIV collaborative interventions
  • Early detection of DR-TB through enhanced access to DST for TB patients
  • Increase enrolment and improve DR-TB patient management
  • Strengthening the Capacity of the NTLP
  • Strengthening the Monitoring and Evaluation Systems

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UGA-T-MOFPED_Grant Confirmation EXEC

UGA-T-MoFPED_Summary Budget_IMPP4_30 Aug 2017_GF