Evidence map›Paper›PMID 38966411›Full record

ArticleIJTLD open2024

2022 TB programme review in Pakistan: strengthening governance, with better patient diagnosis and treatment.

M van den Boom, K Bennani, C Sismanidis, C Gunneberg, L Khawaja, M A Safdar, C Muhwa, E Heldal, D M Cirillo, A W Khan and 6 more

Abstract read
In one paragraph

Article in IJTLD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

M van den BoomWorld Health Organization (WHO), Regional Office for the Eastern Mediterranean Region, Cairo, Egypt.
K BennaniWorld Health Organization (WHO), Regional Office for the Eastern Mediterranean Region, Cairo, Egypt.
C SismanidisWHO, Geneva, Switzerland.
C GunnebergWHO, Geneva, Switzerland.
L KhawajaWHO, Country Office for Pakistan, Islamabad, Pakistan.
M A SafdarWHO, Country Office for Pakistan, Islamabad, Pakistan.
C MuhwaRespiratory Society of Kenya, Kenya.
E HeldalDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
D M CirilloEmerging Bacterial Pathogens Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy.
A W KhanPakistan Ministry of National Health Services, Regulations & Coordination, Government of Pakistan, Islamabad, Pakistan.
R FatimaPakistan Ministry of National Health Services, Regulations & Coordination, Government of Pakistan, Islamabad, Pakistan.
B J KhanPakistan Ministry of National Health Services, Regulations & Coordination, Government of Pakistan, Islamabad, Pakistan.
S TahseenPakistan Ministry of National Health Services, Regulations & Coordination, Government of Pakistan, Islamabad, Pakistan.
M G ElMedrekWorld Health Organization (WHO), Regional Office for the Eastern Mediterranean Region, Cairo, Egypt.
Y HutinWorld Health Organization (WHO), Regional Office for the Eastern Mediterranean Region, Cairo, Egypt.
Pakistan Joint TB Program Review Mission

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn Pakistan, 84% of healthcare is provided by the private sector. We conducted an epidemiological and programme review for TB to document progress and guide further efforts.

methodsSurveillance and data systems were assessed before analysing epidemiological data. We reviewed the programme at federal, provincial and peripheral levels and compiled national data along with WHO estimates to describe the evolution of epidemiological and programme indicators.

resultsIn 2021, of the estimated number of TB cases, 55% of overall cases and 18% of drug-resistant cases were diagnosed and treated respectively. The contribution of the private sector in case detection increased from 30% in 2017 to 40% by 2021. For newly diagnosed pulmonary TB cases, the overall proportion of confirmed cases was 52%. In 2021, testing for rifampicin resistance among confirmed cases was 66% for new and 84% for previously treated patients. The treatment success rate exceeded 90% for drug susceptible TB. The main challenges identified were a funding gap (60% in 2021-2023), fragmented electronic systems for data collection and suboptimal coordination among provinces.

conclusionsThe main challenges prevent further progress in controlling TB. By addressing these, Pakistan could improve coverage of interventions, including diagnosis and treatment. Bacteriological confirmation using recommended diagnostics also requires further optimisation.

Indexed as

drug resistanceNational Tuberculosis Programmeprevention/control programmetuberculosis

Identifiers

PMID38966411
PMCPMC11221579

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