Tuberculosis

Not enough research to treat TB-HIV properly, say experts Anso Thom

Health systems cannot properly diagnose, treat, or contain the co-epidemic of HIV and tuberculosis (TB) because not enough is known about how the two diseases interact. A report by leading global health experts warned that the largely unnoticed collision of the global epidemics of HIV and TB has exploded to create a deadly co-epidemic that is rapidly spreading in sub-Saharan Africa.

Towards a generic surveillance system to measure the impact of Community Health Worker programmes in South Africa: a comparison of paper-based and mobile/cell phone methods

Published by: 
Health Systems Trust

The emergence of Human Immune Virus (HIV) infections and the Acquired Immune Defi ciency Syndrome (AIDS) epidemic in South Africa accompanied by an upsurge in the number of reported tuberculosis (TB) cases has profoundly altered the nations disease profi le over the last fi fteen years. This resulted in a change in the presentation of health problems and a deterioration of health indicators, i.e. increased mortality- and morbidity rates, with a lowered life expectancy.

Stretched health system leaves home care as only alternative

Facilities and staff are being stretched beyond capacity as Swaziland 's public healthcare system buckles under a surge of HIV/AIDS patients, leaving many with home-based care (HBC) as the only alternative, says a new report.

Global Fund risks Medicines without Doctors if it doesnt finance health sector scale-up

A team of international health experts this week warned the Global Fund to Fight AIDS, TB, and Malaria: fund the salaries of health workers or else risk a situation in which medicines for these three diseases are made available in poor countries but there are no health professionals to deliver them.

The District Health Barometer - Year 2005/06

Published by: 
Health Systems Trust

The District Health Barometer (DHB) supports district managers with monitoring and evaluation of district performance and with their annual District Health Plans. It translates routinely collected service level data into information that supports effortless interpretation which leads to engagement.

The report compares key health indicators between the six metropolitan districts, between the 13 rural node districts and between all the districts throughout the country. Analysis of this carefully selected range of health indicators, facilitates identification of problem areas and the corresponding corrective measures. Inequities between rural and urban areas are addressed throughout the report.

Seeing pill-swallowing no TB cure

Directly observed therapy (DOT) -- a controversial technique in which health care workers or community volunteers watch patients swallow tablets -- does not have a significant impact on tuberculosis patients, according to a new report from The Cochrane Library. Still, DOT remains a central tenet of international recommendations for curbing the spread of treatment-resistant bacteria, and experts say they are unconvinced that cliniciansshould abandon the technique.

Mozambique to double number receiving AIDS drugs

Mozambique will provide free anti-retroviral AIDS drugs to some 50 000 people by the end of 2006. Mozambique has been hailed by international lenders as a model reformer that has grown its economy at an average rate of 8% over the past decade.

WHO's AIDS Target - An Inevitable Failure

The World Health Organization (WHO) initiative to treat 3 million HIV-infected people in low- and middle-income countries by the end of 2005 (popularly known as the 3 by 5 initiative) has failed. Unrealistic assessments of how many people could be treated in the time frame explain the failure. But there has been additional fallout from the fiasco. Relations are frayed between WHO officials and South Africas health minister, who is trying to step up her nations AIDS treatment program responsibly. Additionally, because drugs were qualified for use before they had been properly tested and then later withdrawn, the 3 by 5 initiative added to uncertainty about how to proceed in many treatment programs around the world.