Coming back

Here I am, after a long break from my blog.

During one year I lived and worked in Kyrgyzstan, an amazing country in central Asia.

I was working with MSF as project coordinator in Kara Suu District. MSF is supporting the local Ministry of Health and communities to provide access to diagnosis and treatment for Drug Resistant Tuberculosis (DRTB).

Back home, Back to blogging, so keep posted!


The end TB Project : bringing new treatments for MDR-TB to the patients in need

International organizations Partners In Health (PIH), Médecins Sans Frontières (MSF), Interactive Research and Development (IRD) and their financial partner UNITAID started in April 2015 the endTB project, a partnership aimed at radically changing the management of multidrug-resistant tuberculosis (MDR-TB).

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The main risk factors for MDR-TB are social determinants of health

Factors associated with primary transmission of multidrug-resistant tuberculosis compared with healthy controls in Henan Province, China
Wei-Bin Li, Yan-Qiu Zhang, Jin Xing, Zhen-Ya Ma, Ya-Hong Qu and Xin-Xu Li, Infectious Diseases of Poverty 2015, 4:14

Findings from this study showed that being single, earning a low income, having mental stress, lacking medical insurance, and suffering from a chronic debilitating disease were potential risk factors associated with primary MDR-TB. However, risk factors of nosocomial transmission and close contact were not found.

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Community based interventions for the prevention and control of tuberculosis

Infectious Diseases of Poverty is an open access peer-reviewed journal publishing articles around essential public health questions relating to infectious diseases of poverty.


In 2012, an estimated 8.6 million people developed tuberculosis (TB) and 1.3 million died from the disease. With its recent resurgence with the human immunodeficiency virus (HIV); TB prevention and management has become further challenging. We systematically evaluated the effectiveness of community based interventions (CBI) for the prevention and treatment of TB and a total of 41 studies were identified for inclusion. Findings suggest that CBI for TB prevention and case detection showed significant increase in TB detection rates (RR: 3.1, 95% CI: 2.92, 3.28) with non-significant impact on TB incidence. CBI for treating patients with active TB showed an overall improvement in treatment success rates (RR: 1.09, 95% CI: 1.07, 1.11) and evidence from a single study suggests significant reduction in relapse rate (RR: 0.26, 95% CI: 0.18, 0.39). The results were consistent for various study design and delivery mechanism. Qualitative synthesis suggests that community based TB treatment delivery through community health workers (CHW) not only improved access and service utilization but also contributed to capacity building and improving the routine TB recording and reporting systems. CBI coupled with the DOTS strategy seem to be an effective approach, however there is a need to evaluate various community-based integrated delivery models for relative effectiveness.

Keywords: Community-based interventions; Tuberculosis; DOTS; integrated delivery; CHWs

Des interventions infirmières et des sages-femmes pour la prévention des maladies non transmissibles (NCDs)

Nombreuses interventions existent pour pour faire face aux maladies non transmissibles (Non-Communicable Diseases ou NCDs en anglais) et celles-ci sont bien connues.

Afin d’ intensifier l’action, la participation des infirmières et des sages-femmes, qui représentent la plus grande catégorie de professionnels de la santé dans la plupart des pays, est essentielle.

L’expérience montre que les  interventions issues des soins infirmiers  et obstétricaux pour les NCDs peuvent aller au-delà de la prévention et du traitement et qu’elle peuvent inclure la promotion de la santé.

Ce document, publié par l’OMS, présente les interventions infirmières et des sages-femmes  pour la prévention des NCDs et le rôle que celles-ci jouent au niveau politique, de la recherche, du plaidoyer, de l’éducation  et dans la pratique.

Enhancing nursing and midwifery capacity to contribute to the prevention, treatment and management of noncommunicable diseasesHuman Resources for Health Observer – Issue No. 12

Accéder au document sur la page de l’OMS