What are the impacts of the Syrian war on the delivery of Tuberculosis services in Syria?
The Syrian war resulted into the destruction of the healthcare facilities. This led to shortage of drug supply and fleeing away of health worker.
What prompted the Jordan National Tuberculosis Program to seek technical assistance from US Centers for Disease Control and Prevention?
Due to the high refugee influx from Syria into Jordan, there was created pressure on the medical facilities dealing with the Tuberculosis. The NTP sought for assistance to ease the pressure
Describe the healthcare outcomes implications if a TB control program was not implemented.
Without the implementation of the TB program, or with poor implementation, the transmission of the infectious disease increases.
Explain why WHO has outlined essential pre-requisite criteria need to be met before implementing TB Programs in emergencies.
The reason for making an outline is to make effective the implementation of the program. Poor implementation has the potentiality of prolonging the time for the disease, resulting into greater transmission of the disease.
On the light of the efforts described in the article, clarify the strengths of the Jordan TB control programs.
The strengths of the Jordan TB Program is based on their: TB program policies; lead agency and coordination; availability of human resource; health facilities such as laboratories; drug procurement and storage and follow-up procedures. All these proved adequate.
Explain the significance of assessment of TB care by Jordan NTP before development of the strategy.
The significance of the assessment is to establish the preparedness of Jordan in extending their services to the Jordan refugees. The areas examined included: TB policies, procurement and storage capacity, and follow-up procedures among others.
Syrian refugees have received psychological support. Justify this procedure. Do you agree with it?
The psychological support for the patient is necessary to help them deal with fear and stigma. This is because TB is viewed negatively in the society and resulting from poor hygiene.
A) What is the importance of specifying activities with indicators for every objective?
The specification is to help in facilitating the success of the treatment program since the experts deals with concrete situations.
B) What is the relevance of specifying the authorities involved in the collection of these indicators?
The authorities increase the public trust in the services offered by the experts.
Who were the receivers of the information, education and communication (IEC) material? Why?
The receivers of the IEC were the refugees in the camps and the non refugees. This was to create awareness on the disease to the public.
Why was a high percentage of smear negative TB cases reported by the Jordan NTP?
The reason for the high negative tests is that some of the patients were already partially treated in Syria.
Describe how living in a conflict zone contributes to prevalence of TB?
The conflict zones usually experience delayed reactions upon the cases of TB. The resettling refugees also develop resistance to TB drugs.
What are the consequences of interrupted TB treatment, as stated in the article?
The interrupted treatment of TB results into increased morbidity and mortality rates, as well as increased healthcare costs.
Based on the article the implementation of the TB strategy faced several challenges.
What were these challenges?
The challenges in the strategy implementation included the facts that: the Syrian refugees were scattered even outside their camps; some patients did not comply with DOTS protocol without close supervision; development of opportunistic complications and the intense stigmatization in the camps.
What were the efforts done to overcome these challenges?
Such efforts included minimizing of the MDR-TB as well as improving the refugees help and prevention of new cases.
Define the limitations of the TB strategy described in the article.
The major limitations include limited funding to the TB program and the TB incidences overstretching the WHO estimated value
Reflect on the importance of publishing this TB prevention strategy in that geographical area in a scientific article?
The publishing of such a strategy in a scientific article has great significance in equipping other nations with the techniques of handling TB problems with success.
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