ADVOCASY STRATEGY FOR THE TRANSITION TO OUTPATIENT TREATMENT OF TUBERCULOSIS: REPUBLIC OF MOLDOVA 2016-2018


Book_Cover_Strategie_ENG

To read the handbook entirely, please scroll down:

This document was developed within the project «Together in Tuberculosis Control», implemented by the Moldovan National Association of Tuberculosis Patients (SMIT), with the support of the Center for Health Policies and Analyzes from sources allocated by the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria, through the EECA regional program (TB-REP).

Authors: Oxana Rucșineanu, Program Director, Moldovan National Association of Tuberculosis Patients „SMIT” Svetlana Doltu, MPH, Council for Torture Prevention.

Contributions: Inga Sorocean, PhD in Philology, the Moldovan Academy of Sciences High School Stela Bivol, Director, PAS Center Yuliya Chorna, Program Manager TB Advocacy, Alliance for Public Health.

This document was developed within the project «Together in Tuberculosis Control», run by the Moldova National Association of Tuberculosis Patients ”SMIT” (Society of Moldova against TB), with the support of the Center for Health Policies and Studies from the sources allocated by the Global Fund to Fight HIV / AIDS, Tuberculosis and Malaria, through the EECA regional program (TB-REP).

The outpatient treatment includes and refers to healthcare provided to a patient outside a hospital. In the context of tuberculosis, outpatient treatment is defined as continuous comprehensive care. Thus, effective outpatient models should include a patient-centered approach that supports activities to increase adherence in the context of individual patient needs, while considering social and economic vulnerabilities.

From the point of view of infection control, the isolation of patients does not reduce the transmission of infection, as the highest rate of infection occurs before the diagnosis and placement of the person with TB in the hospitals. The risk of infecting other people with TB decreases considerably after a maximum of 14 days (2-14 days) of effective treatment. In such a way, the massive patients’ hospitalization contributes to the unnecessary waste of both financial and human resources and often has a negative impact on the psychosocial life of patients with TB and their families.

From a public health perspective, outpatient treatment is more effective and cost-effective. Hospitalizing fewer patients will help reduce nosocomial infection.

In the context of joint efforts, it would be beneficial to reinforce referring systems, redirect financial resources, effectively integrate tuberculosis treatment into primary care, and provide patient support by promoting education campaigns and the involvement of civil society.

The vision of this document emerges from the need to advocate for outpatient treatment by increasing policy engagement and the implementation of people – centred care models.

The purpose of the advocacy strategy is to promote the transition to the outpatient tuberculosis model by creating a patient friendly environment and adopting responsible behaviour towards patient’s needs.

The general objectives are:

  1. Increasing political commitment to tuberculosis;
  2. Increasing awareness of decision-makers in relation to person-centered tuberculosis care models;
  3. Strengthening capacities of NGOs to ensure the sustainability of TB programs.

Lasă un răspuns

Completează mai jos detaliile tale sau dă clic pe un icon pentru a te autentifica:

Logo WordPress.com

Comentezi folosind contul tău WordPress.com. Dezautentificare /  Schimbă )

Fotografie Google

Comentezi folosind contul tău Google. Dezautentificare /  Schimbă )

Poză Twitter

Comentezi folosind contul tău Twitter. Dezautentificare /  Schimbă )

Fotografie Facebook

Comentezi folosind contul tău Facebook. Dezautentificare /  Schimbă )

Conectare la %s

%d blogeri au apreciat: