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Free Content Treatment outcome among Rwandan and Burundian refugees with sputum smear-positive tuberculosis in Ngara, Tanzania

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SETTING: Tuberculosis programme in six camps (Benaco, Musuhura, Lumasi, Lukole, Keza and Kitali) for Rwandan and Burundian refugees in Ngara district, Tanzania, where treatment was directly observed throughout.

OBJECTIVES: To evaluate the treatment outcome of sputum smear-positive tuberculosis cases recruited in refugee camps in Ngara, and to determine the cumulative frequency of conversion of sputum smears by direct microscopy.

DESIGN: Retrospective review of tuberculosis registers from January 1995 to December 1999.

RESULTS: Of 546 patients with smear-positive tuberculosis who were notified in the programme, 363 (66.5%) had completed treatment and were bacteriologically cured after 7 months, 10.9% had died, 7.1% had defaulted and 14.5% had transferred out. Sputum conversion after the 2-month intensive phase was 88%, and increased to 99% after 7 months of chemotherapy.

CONCLUSION: The involvement of the Tanzania NTLP in collaboration with health NGOs has led to a satisfactory outcome. These data suggest that it is possible for tuberculosis control programmes to perform successfully in refugee settings.
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Keywords: Tanzania; refugee; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Norwegian PeopleÕs Aid (NPA), Greater Lukole Camp Hospital, Ngara, Tanzania 2: Regional TB/Leprosy Co-ordinator, Kagera, Tanzania

Publication date: July 1, 2001

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on lung health world-wide.

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