Tuberculosis control in Suriname

Situational analysis

Overarching goalTo reduce incidence, mortality and

transmission of Tuberculosis in Suriname.

Strategic goals

• Detect 95% of expected sputum positive TB cases.

• Cure 95% of these cases

Objectives

• Implement and expand quality DOTS in Suriname

• Address TB/HIV, MDR-TB and the needs of

vulnerable populations (TB/HIV collaborative

activities, prevention and management of MDR-TB,

treatment of Tb under DOTS in prisons)

• Contribute to health system strengthening

• Develop or Strengthen partnership to ensure

equitable access to all TB patients

• Engage communities and affected people for ACSM

Current Situation

• Since May 2011 introduction of DOTS

• Sputum collection – Decentralized– NTP– Lung clinic

• Diagnosis– AZP: smear microscopy +PCR– SZN: smear microscopy– CL: smear microscopy+PCR+culture

Treatment

• Initiation by pulmonologist/internal medicine specialist (or other specialist in case EPTB)

• After 3 consecutive negative sputum discharge of patient and treatment follow up by NTP and Dot supporters

Trend 2000-2012Trend 2000-2012

NTP database

Number of TB cases by age categoryNumber of TB cases by age category

NTP database

TB/HIV

Patient outcomes

NTP database

Challenges

• Follow up treatment and diagnosis for (uninsured) foreigners

• Loss to follow up due to travel to home country

• Default due to travel to the interior (Gold miners)

Area of collaboration

• Collaboration between NTP’s regarding transfer of TB patient

• Exchange program to learn from each other expierience