Emergency response in TB program in Nepal earthquake: A quick review

Similar to the other health services, there has also been interruption of existing TB treatments services among earthquake affected districts. Some people who were under anti-tubercular treatment reported lost to follow-up and they could have been high potential source of infection transmission in the community. Similarly, people were generally living in overcrowding spaces like temporary shelters and camps increasing the risk of TB infection. The National Tuberculosis Centre (NTC) and partners assisted district TB focal points for Post Disaster Needs Assessment of the National Tuberculosis Program (NTP), tracing TB patients and conducting chest and TB screening camps.

Major achievements

  • Post Disaster Needs Assessment of the National Tuberculosis Program (NTP) was conducted in the 11 most affected districts for the damage and loss Assessment and recovery recommendation
  • Tracing TB patient and enrollment in directly observed treatment, short-course (DOTS)
  • More than 15000 displaced population living in temporary camps in five earthquake affected districts were benefited from TB screening and chest camps
  • DOTS centers were revitalized with the logistical and technical assistance

Challenges

  • Difficulty in tracking the TB patients in the community level as many villages were inaccessible by road and TB registries were lost in some places
  • Rapid movements in displaced population, conflict between internally displaced population and host communities and poor health seeking behaviors were the major challenges in TB screening and chest camp

References

https://www.humanitarianresponse.info/en/operations/nepal
https://www.humanitarianresponse.info/en/operations/nepal/health
https://www.humanitarianresponse.info/en/operations/nepal/tuberculosis


My education includes training in medicine, public health, clinical research, biostatistics and health response in complex emergency. I have more than seven years of experiences in health research (Survey, Case control studies, Randomised Controlled Trials (RCT), Health Policy and Systems Research). My areas of expertise also include the project management particularly in health sector. I have also experience and interest to work in health emergency in large population in disaster setting.

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