Department of Medical Science, University of Pretoria, Pretoria, South Africa
Research Article
Community Infection Control in the Context of Injection-Free Regimen and Decentralised Ambulatory Care: Six Month Follow of DR-TB Cases in Decentralised Facilities eThekwini District, South Africa
Author(s): Joven Jebio Ongole*, Sharon Fynn and Gregory Jagwe
Introduction: In July 2018, South Africa introduced the injection free bedaquiline based treatment regimen to replace the kanamycin-based regimen for Drug-Resistant (DR) TB. With support from the USAID Tb South Africa project, eThekwini district with the highest burden of DRTB in South Africa rapidly decentralised DR-TB care from an initial three centralised admission TB Hospitals to 18 peripheral districts, community health centres and clinics to improve access while focusing on ambulatory care as opposed to institutionalized hospital based care. The ambulatory model of care meant patients where managed within their households and thus communities while on treatment. An effective infection control in the household and community was implemented to prevent and control infections among families and close contacts. After six months, 98% of the patients remained in ambula.. View More»
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