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Posts tagged "Republic of Moldova"
TBEC Participates in the 2013 WHO Review of Moldova Program

TBEC Participates in the 2013 WHO Review of Moldova Program

Last month, Jonathan Stillo, a medical anthropologist and active member of the TBEC and the Romanian STOP TB Partnership, was part of the World Health Organization team as TBEC representative that reviewed Moldova’s TB program. This was an unusually long review of a small country, but there is so much happening in Moldova related to TB, that even with two weeks and three separate review teams, it was difficult to see everything. Moldova has one of the highest rates of new MDR-TB in new cases in the entire world. It is also the poorest country in the WHO European region, with almost one-third of the population living in absolute poverty.  TB is only one of the many health problems the country is struggling with including cancer, cardiovascular disease, and HIV/AIDS. An additional challenge Moldova faces is that Global Fund support for second line TB drugs to treat MDR-TB will end in 2014. The WHO review examined issues such as Moldova’s new community centers for fighting TB, a fully ambulatory MDR-TB pilot project, new treatment guidelines, and a nationwide roll-out of GeneXpert testing . Most of these developments are promising, but for TBEC, the most exciting news coming out of Moldova More…

Tackling TB in Moldova: Speranta Terrei and the importance of civil society organisations

Tackling TB in Moldova: Speranta Terrei and the importance of civil society organisations

The Republic of Moldova has a considerable TB problem. In 2011, out of a population of 3 million, 4,208 people were diagnosed with TB. Compare this to the 3,528 people diagnosed with TB in Germany, out of a population of 82 million, and the alarming rate of TB in Moldova really hits home. Moreover, Moldovan has a high burden of multi-drug resistant TB (MDR-TB) that makes tackling the problem significantly more difficult. 19 percent of all new cases of TB in Moldova are estimated to be MDR and 51 percent of all retreated cases. To add to the problem, Moldova is also a predominantly rural country. This not only makes carrying out national TB prevention programmes much harder, but it also increases the chances of patients not being able to complete treatment as a result of having to travel much longer distances to reach treatment than those who live in cities. Some patients are also too weak to walk far or even lack money for a bus fare to take a trip to a dispensary. If treatment isn’t completed or stopped early drug-resistant strains can emerge, thus further compounding the problem of MDR-TB. There are, however, civil society organisations that More…

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