TY - JOUR ID - TI - Evaluation of Directly Observed Treatment Short Course(DOTS) Program Implementation in Al-Anbar Governorate ,West of Iraq, for the Years 2008-2012 تقييم تطبيق البرنامج الوطني لعلاج مرض التدرن تحت النظر مباشرة في محافظة الانبار غرب العراق AU - Hameed Othman حميد عثمان AU - Mahasin A Al-Taha محاسن احمد طه AU - Hammodi F AL-jumaily حمودي الجميلي PY - 2017 VL - 30 IS - 2 SP - 58 EP - 67 JO - IRAQI JOURNAL OF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع SN - 16845382 AB - Abstract:Background:- DOTS program has been adopted by WHO as hopeful strategy for treatment of TB since early nineties ,and it is widely accepted as an essential strategy for achieving (TB) control . Iraqi health authorities started DOTS program implementation since 2001 in Baghdad, Iraq. Objectives:- This study aimed to evaluate DOTS program implementation in Al-Anbar Governorate from 2008-2012 , and to assess the treatment outcomes of this program . Patients and Methods:- This Cross –Sectional Descriptive Study was conducted in consultation clinic in Ramadi city ,Al-Anbar Governorate for the period of October 1 ,2012 to March 31,2013 . Records of (1680) TB patients were studied retrospectively for the years 2008 to 2012 .Data regarding pulmonary cases for positive and negative smears ,extra-pulmonary and relapse cases ,treatment failure and chronic cases , in addition to Socio - demographic features were obtained .Statistical package for social sciences (SPSS)version 17 , and chi- square test were used ,while P values of less than 0.05 considered statistically significant . Results:- A total of 1680 TB patients records reviewed , (919) were males , and (761) were females . Male to female ratio was 1.2:1 .The total of new sputum smear positive( SS+) cases were 541(32.2%),sputum smear negative(SS- )were 413(24.5%) ,and extra pulmonary( EP) cases were 726(43.2%) .The Cure rate for TB patients for the period (2008- 2012) was 84.7% , 86.8%, 82.7% ,85.6% ,and 91.4% respectively . The treatment success rate of DOTS program for the period from 2008 to -2012 were 89% , 85.6% , 85.6% ,85.8% , 87.7% respectively .The higher death rate was at 2010 (4.5%) ,treatment failure rate was higher at 2012(2.6%) ,while defaulter rate was higher at 2009(10.5%),and transfer out rate was higher at 2010 (1.9%) .Conclusions:- DOTS program is still an important role in improving registration and curing TB cases ,and widely accepted for achieving TB control strategy in AL-Anbar Governorate .Although many results were close to WHO targets,the case detection rate was very low and faraway from its goals .

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