POPLINE Document Number: 314782
Author(s):
Luelmo F
Gamazina K
Richardson D
Tsarenko A
Ivanenko T
Source citation:
Seattle, Washington, Program for Appropriate Technology in Health [PATH], 2006 Dec 31. [97] p. (USAID Cooperative Agreement No. GHS-A-00-03-00010-00|USAID Development Experience Clearinghouse DocID / Order No. PD-ACI-564)
Abstract:
Increased numbers of tuberculosis (TB) cases, coupled with a rise in human immunodeficiency virus (HIV) and multi-drug resistant TB (MDR-TB), are a significant public health problem--as well as an economic threat--in Ukraine. TB rates more than doubled in Ukraine between 1992 and 2002, a result of the economic and social challenges that came with independence, stabilizing by 2004 at 82 notified cases per 100,000 population, the eighth highest rate of 53 countries in the World Health Organization (WHO) European Region. This represents an estimated 40,000 TB cases per year. Ukraine faces a number of challenges in TB control: strategies inconsistent with international recommendations and resource use that is not cost-effective. Ongoing use of mass photofluorography and annual tuberculin screening of children for active case detection, multiple BCG (Bacillus of Calmette and Guerin) re-vaccination, mandatory and lengthy hospitalization of smear-positive patients, TB diagnosis restricted to specialists (even in cases confirmed by a laboratory), and long-term follow-up of patients after completion of treatment contribute to inefficient and ineffective TB control. All of these activities illustrate the underlying issue in TB control in Ukraine: namely that there has been a strong commitment to Soviet-style TB practices among both policymakers and providers, and hence, significant resistance to adopting the internationally-recommended TB control strategy (DOTS). It was in this context that international donors and partner organizations began work to support Ukraine in modernizing its TB control system in 2000. (excerpt)
Keywords:
UkraineIndex page
Summary Report
Nongovernmental Organizations
Persons Living With HIV/AIDS
Tuberculosis
Prevention and Control
Child Survival
Funds
Program Evaluation
Community Participation
Behavior Change Communication
Drug Resistance
Europe, Eastern
Europe
Developing Countries
Organizations
Political Factors
Sociocultural Factors
HIV Infections
Viral Diseases
Diseases
Infections
Survivorship
Length of Life
Mortality
Population Dynamics
Demographic Factors
Population
Financial Activities
Economic Factors
Programs
Organization and Administration
Communication Programs
Communication
Behavior Change
Behavior
Treatment
Medical Procedures
Medicine
Health Services
Delivery of Health Care
Health