scholarly journals TO PIN POINT THE FLAWS IN TUBERCULOSIS TREATMENT THAT LEADS TO MDR-TB IN NISHTAR HOSPITAL MULTAN; PAKISTAN

2015 ◽  
Vol 7 ◽  
pp. 49
Author(s):  
Mohsin Ali Sindhu ◽  
Keyword(s):  
Developing Countries ◽  
South Asia ◽  
Patient Compliance ◽  
Statistical Data ◽  
Tuberculosis Treatment ◽  
Directly Observed Therapy ◽  
Mdr Tb ◽  
Poor Management

Tuberculosis is one of the major problems in developing countries. Can be treated but due to poor management of MDR-TB and multi-emerging now days. Nishtar Hospital Multan is one of the largest hospitals in South Asia. The purpose of this study was to point out the flaws in the case of treatment of tuberculosis, directly observed therapy and patient compliance, and tuberculosis. The study was conducted by researchers who have been associated with doctors and participants in the search, and when he visited the behavior in the hospital. And summarizes the data through the use of statistical data.

scholarly journals Understanding the social determinants of TB and HIV in South Asia

2014 ◽  
Author(s):  
Bishwajit Ghose ◽  
Cheng Zhaohui ◽  
He Zhifei
Keyword(s):  
South Asia ◽  
Healthcare System ◽  
Social Determinants ◽  
Social Life ◽  
Public Health Problem ◽  
Asian Population ◽  
Major Public Health Problem ◽  
South Asian Population ◽  
Wide Range ◽  
Mdr Tb

South Asian population suffer a particularly wide range of infectious diseases among which TB and HIV appear to produce most profound influence across various dimensions of social life, healthcare and the economy. Although the countries in this region have a relatively lower prevalence of HIV/AIDS compared to other developing regions until now, the future looks rather bleak in terms of preparedness for emerging healthcare realities. Tuberculosis on the other hand, has always been a major public health problem plaguing the healthcare system and the economy for decades. Moreover, the emergence of the drug resistant (MDR-TB & XDR-TB) strains are making the existing intervention and prevention strategies less effective and posing ever-growing threats to the underdeveloped healthcare infrastructure. Understanding the underlying social-determinants of these diseases can prove crucial to design more comprehensive intervention approaches. This article aims to clarify why the healthcare system in South Asia needs to adopt a social-determinants-of-health (SDOH) approach as a long-term strategy for more efficient prevention and control of TB and HIV infection.

scholarly journals Effect of psychiatric co-morbidity on adherence to anti tubercular treatment: a cross sectional study from North India

2021 ◽  
Vol 8 (3) ◽  
pp. 1325
Author(s):  
Ravdeep Kaur ◽  
Tarundeep Singh ◽  
Shubh Mohan Singh ◽  
Rajesh Kumar
Keyword(s):  
Depressive Disorder ◽  
Cross Sectional Study ◽  
North India ◽  
Directly Observed Therapy ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
Short Course ◽  
Co Morbidity ◽  
Mdr Tb ◽  
Tuberculosis Therapy

Background: Study explores relationship between depressive disorder and adherence to DOTS (Directly Observed Therapy Short Course) and whether treatment of depressive disorder according to severity of depressive disorder should be an option to improve adherence to DOTS.Methods: Study included 182 newly diagnosed adult cases of tuberculosis who were on anti- tuberculosis therapy (ATT) as per program guidelines and were in third month under DOTS category I and category II therapy. Patients were screened for depressive and anxiety disorder using PHQ-9 and GAD-7. Modified ACTG baseline questionnaire was used to collect data about adherence and reasons for partial adherence.Results: Overall prevalence of depressive disorder amongst participants was found to be 37.9% and that of partial adherence (missed two or more than two doses) was 12.1%. Partial adherence was mostly seen in the first month, followed by third and second month of DOTS. Twenty- two percent patients with depressive disorder were partially adherent to ATT. Odds ratio suggests higher risk being partially adherent to ATT were greater in the participants who had depressive disorder.Conclusions: This study highlights the benefit of screening patients while diagnosing tuberculosis patients for depressive disorder, to improve disease outcome and reduce likelihood of MDR-TB.

scholarly journals Determinants of Multi-Drug Resistant Tuberculosis Among Patients Attending Anti-Tuberculosis Treatment From Peripheral Districts, Southern Ethiopia, 2019: a Case Control Study

2020 ◽  
Author(s):  
Lankamo Ena Digesa ◽  
Aklil Hailu Beyene ◽  
Erdaw Tachbele Betre
Keyword(s):  
Previous Treatment ◽  
Tuberculosis Patient ◽  
Tuberculosis Treatment ◽  
Southern Ethiopia ◽  
Resistant Tuberculosis ◽  
Multi Drug Resistant Tuberculosis ◽  
Mdr Tb ◽  
History Of ◽  
Study Participants ◽  
Control Study

Abstract Background: The emergence of multi-drug resistant tuberculosis (MDR-TB) is a challenge for global prevention and control of the disease. MDR-TB case management is difficult because it exposes to further economic and social costs that the patients face while seeking help and treatment. Ethiopia is one of the 30 MDR-TB burden countries. There is little research evidence of MDR-TB from the peripheral parts of the country.Objective: The study was designed to identify determinants of MDR-TB among patients attending anti tuberculosis treatment from peripheral districts, Southern Nations, Nationalities and People Region, Ethiopia, 2019. Methods: Hospital based case control study was conducted from March to April, 2019 in Southern Ethiopia. Cases were confirmed MDR-TB patients, while controls were those who declared cured or completed first line ant-tuberculosis treatment. The study participants were recruited by stratified random sampling. The data were entered into Epi data 4.4.3, cleaned and analyzed by SPSS 24. Bivariate and multivariable analyses was used to identify determinants of MDR-TB. Determinants with P-value <0.05 were declared as having significant association with MDR-TB and adjusted odd ratio with 95% CI was used to measure degree of association. Result: A total of 180 study participants were recruited (90 cases and 90 controls) and participated in this study. The median age for cases and controls was 29 and 30.5 years respectively. More than two third (78.89%) of case participants were from rural and 49(54.44%) of the controls were from rural. Uneducated [AOR:5.18, 95%CI (1.69-15.80)], rural resident [AOR:2.60,95%CI(1.14-6.88)], body mass index(BMI)<18.5kg/m2[AOR:3.11,95%CI(1.41-6.88], pulmonary tuberculosis[AOR:3.98,95%CI(1.11-14.22)], contact history with tuberculosis patient [AOR:3.99,95%CI (1.75-9.07)] and history of previous treatment[AOR:9.5,95%CI(4.08-22)] were found independent determinants of MDR-TB.Conclusions and Recommendation: Uneducated, rural residence, body mass index <18.5kg/m2, pulmonary tuberculosis, contact history with tuberculosis patient and history of previous treatment were associated with MDR-TB. A community level education to enhance public awareness about MDR-TB, nutritional counseling and support, strengthening contact tracing and directly observed treatment strategies with treatment adherence interventions were recommended.

Enhancing management of tuberculosis treatment with video directly observed therapy in New York City

2016 ◽  
Vol 20 (5) ◽  
pp. 588-593 ◽  
Author(s):  
C. Chuck ◽  
E. Robinson ◽  
M. Macaraig ◽  
M. Alexander ◽  
J. Burzynski
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Tuberculosis Treatment ◽  
Directly Observed Therapy

Impact of remittances on economic performance in consideration of institutional quality

2020 ◽  
Vol 47 (3) ◽  
pp. 479-507
Author(s):  
Surya Nepal ◽  
Sae Woon Park ◽  
Sunhae Lee
Keyword(s):  
Economic Growth ◽  
Developing Countries ◽  
South Asia ◽  
Central Asia ◽  
Financial Development ◽  
Economic Performance ◽  
Institutional Quality ◽  
Content Type ◽  
The Impact ◽  
Asian Developing Countries

PurposeThe purpose of this paper is to empirically assess the impact of remittances on the economic performance of the 16 Asian developing countries, taking account of their institutional qualities.Design/methodology/approachA panel of 16 Asian developing countries (Central Asia, South Asia, and ASEAN) over the period of 2002–2016 is employed in the analysis. To assess the impact of remittances on economic performance in consideration of institutional quality, OLS estimates as well as GMM are used.FindingsThe effect of remittances on economic growth is statistically significant. In addition, they also impact economic growth when they interact with institutional or financial development variables. For the long-run growth process of Central Asian, South Asian, and ASEAN countries, a sound and smooth institutional framework appears to be indispensable. Also, it was found that more fragile economies tend to achieve bigger growth than less fragile economies, as this kind of growth is triggered by more remittances flowing into fragile economies. However, the impact of remittances on growth does not depend on the level of ICT. FDI and financial development have positive impact on growth.Research limitations/implicationsThere are limitations to this research as well. Due to the unavailability of data, several countries had to be removed from this study. The cost of sending money might be an important variable for this study. However, the data on this variable from reliable sources are almost impossible to gather. Therefore, this variable is also not included in this research. The savings from remittances when intermediated through formal financial channels will, in fact, produce a positive allocation and distribution of resources that may eventually become an important source of growth. However, one precondition for larger and greater growth is that remittances need to be well and properly utilized by the financial sector. Therefore, quality institutions should be formed first, which can facilitate investment activities and make the flow of remittances more convenient.Originality/valueThis paper exclusively considers the case of Asian developing countries (Central Asia, South Asia, and ASEAN) to assess the impact of remittances on the economic performance of these countries, with special consideration of the interaction effects of remittances and institutional quality in these emerging Asian economies. The previous studies on the effect of remittances on growth do not conform to one concrete conclusion. This study is undertaken in a bid to get the best possible result on the impact of remittances on the growth of the selected countries, majority of which attract substantial chunk of remittances into their economies.

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