A Solution for High TB Prevalence in Urban Slums with Already Well-established Dots Services

By Min Thu

Background: WHO estimates that only 66% of the incident TB cases are reported and 3 million new TB cases are being missed every year. The current approach to TB case detection does not reach millions of people. In Myanmar, TB prevalence was higher in urban areas than in rural areas (330.7 vs. 216.1/ 100 000 population 15 years and above). In spite of extensive expanding of DOTS services nationwide, the TB prevalence became higher than expected, particularly in urban areas. In 2011, PSI/M implemented a new intensive active case finding project under the TB REACH fund targeting the slum areas of Mandalay and Yangon Regions. 

Objective: To determine if this new active case finding project design is an effective model for solving the problem of high TB prevalence in urban slums in a high TB burden country with a well-established DOTS program. 

Results: In Mandalay, the total registered SS+ TB cases at the regional level increased 14% with the project from 931 to 1,063 cases compared to the same period in the previous year without the project. In Yangon, the total registered SS+ TB cases at the regional level improved 57% from 6,959 to 10,914 cases with the project, compared to the same previous three quarters period without the project