Key Achievements in Tuberculosis: Fiscal Year (FY) 2000
Improving Laboratory Capability in El Salvador
In El Salvador, USAID helped 59 Ministry of Health laboratories obtain better diagnostic equipment and improve the supervisory and technical skills of laboratory personnel. As a result, more cases were diagnosed and follow-up treatments increased from 66 percent of patients in 1998 to 84 percent in 2000.
Treatment Policy in Kazakhstan
USAID collaborated with the government of Kazakhstan in 1998 to develop the first policy on TB treatment in the Eurasia region consistent with the directly observed treatment, short course (DOTS) approach. The government initiated DOTS in 21 sites nationwide, and by 1999 14 of these sites had achieved cures in 75 percent or more of their TB patients. USAID's support of the national TB program has contributed to a 20 percent decline in mortality, from 38.4 to 30.7 deaths per 100,000 population.
Prevention and Control Program in Russia
In 1998 in Russia, USAID, the Centers for Disease Control and Prevention (CDC), the Scientific Research Tuberculosis Institute of the Russian Academy of Medical Sciences, and the Ministry of Health developed a multi-year TB prevention and control program to implement in the general populations of selected districts. USAID trained TB professionals from the Institute, the Ministry and four districts in both the U.S. and Russia. With USAID assistance, the Institute's Scientific Board developed a protocol on TB treatment that helped improve diagnostics, treatment, surveillance, and case management practices. USAID will further strengthen this program by improving data collection and surveillance systems, helping to develop public awareness and education programs, and providing social support to TB patients and their families.
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