220 health workers working: TB patients in Munshiganj Sadar UZ getting proper treatment

MUNSHIGANJ: Faruk, a TB patient taking a dose of medicine at Swasthys Sebika House at Sardarpara in Parchasar Union.
MUNSHIGANJ: Faruk, a TB patient taking a dose of medicine at Swasthys Sebika House at Sardarpara in Parchasar Union.
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Anisul Islam Noor back from Munshiganj :
The tuberculosis (TB) patients in Munshiganj Sadar upazila get proper treatment in the recent time and both treatment and diagnose are done free of cost.
The Government has given priority to control of the tuberculosis, as it is a major public health problem. Every day approximately 875 new TB cases are detected and 180 die.
The government is implementing the program through Bangladesh Rural Advancement Committee (BRAC) under National Tuberculosis Control Program (NTP) in all upazilas of Munshiganj district.
A Swasthya Sebika (Health worker) look after 1175 to 1410 people in the upazila and go door to door in search of new patient. They convince the people suffering from cough for more than three weeks to go to local cough symbol collection centre or peripheral laboratory to be sure that they have not been attacked with TB, said, Subrata Kumar Biswas, Senior District Manager, Health Nutrition And Population Program of BRAC Munshiganj.
A total of 220 Swasthys Sebika have been working in Munshiganj Sadar while 940 Sebika in the district, he said.
The diagnose of TB, if any, is done within a day, which helps the people to know whether they are attacked with the TB or not. It brings success in TB treatment. Late identification of TB may lead to death, said Dr Sohana Sultana, Medical Officer, Bazrajogini Union Sub-health Centre, Munshiganj Sadar.
Fatem Begum, BRAC Swasthya Sebika, said that two new cases were detected this year. They have been identified as Faruk (11), a student of class VI at Panchashar High School, and Shamsul (45) a farmer from Sardar para at Panchashar Union.
They are given treatment under Directly Observed Treatment Short Course (DOTS). They take a doze everyday morning, Fatema said.
No patient can take more than one tablet daily and if any patient misses the prescription, the BRAC Sebika goes to his house for administering the doze. It is six months’ course interruptedly, she said.
Delowar Hossain (45) from Durabari para in Panchasar Union told the reporter that he had been cured for following the course. He did not miss the doze even for a single day.
About 264 TB patients have been identified this year from January to June-2014 in Munshiganj Sadar Upazila. Of them, 234 were cured and 15 died. Cough of 1,485 people s examined and TB germs were found in 264 of them in 2014, Mr. Subrata said. In 2013, about 508 patients were found carrying TB germs. Of them, 471 were cured 25 died. Nearly 2517 people were tested in same time, sources said.
This reporter observed use of High quality microscope at Bazrajogini Sub-health Centre in September 2014 to detect TB germ within a day. Muntasir Al-Mamun, Technical Assistant of TB diagnosis laboratory told this reporter that it has given good result..
The government’s overall goal of controlling TB is to reduce morbidity, mortality and transmission of TB until it is no longer a public health problem.
TB cases being detected in different microscopy centres across the country pour into 869 directly DOT centres where they are provided with quality drugs free of cost.
Drugs and diagnostics are thus abundantly available to cut off transmission of infection in the community. This has been made possible because of sound national strategy and plan executed with skill and commitment. National strategic plan is efficiently tuned with globally accepted models like DOTS and Stop TB strategy.
Another model is public-private cooperation where Bangladesh has performed strongly. It is for engaging private sectors in the national programme to bring about real changes in terms of care. Government and non-government collaboration not only widens access to service but also helps develop a country response to demand. In this case though, resource mobilisation is an important factor. The Global Fund to Fight AIDS, Tuberculosis and Malaria has been providing us with substantial financial support since 2004.
Without spending any money the people are getting the treatment service at home, which helps curb the disease significantly, experts said.
The vision of the NTP is to eliminate TB as a Public Health Problem from Bangladesh.
National Tuberculosis Control Program (NTP) aims at strengthening the effort of TB Control through effective partnership, mobilizing resources and ensuring quality diagnostic and treatment services under defined Directly Observed Treatment Short Course (DOTS) strategy. The service should be equally available to all people of Bangladesh irrespective of age, sex, religion, ethnicity, social status and race.

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