STATIONARY SUBSTITUTING TECHNOLOGIE. THE USE OF NCL IN THE TREATMENT OF TUBERCULOSIS

The national program of Integrated Tuberculosis Control in the Republic of Kazakhstan allows to achieve effective treatment of tuberculosis patients with priority at outpatient and inpatient medical care, and to prevent the spread of M / XDR-TB infection. The strategic direction of the Integrated Tuberculosis Control in the Republic of Kazakhstan is a coverage based on a patien-oriented approach. The aim is to provide the outpatient treatment for more than75% of patients. In the North Kazakhstan region integration of the TB service is systematically conducted. Since 2014, 245 TB beds have been reduced, and since July 2019, the total amount of TB beds is 280.
The district level integration in the North Kazakhstan region of the Tuberculosis Service in the primary health care was carried out by opening tuberculosis rooms in all central district hospitals of the region. According to the National Strategy in the Region, the coverage of outpatient treatment of tuberculosis patients is expanding annually.
In 2015 DCT (Directly-controlled Treatment) was introduced in the “Regional Center of Phthisiopulmonology” within the framework of outpatient technologies on the basis of the dispensary department. DCT includes a specially trained medical chemist who provides delivery and control of taking antituberculosis drugs at home.

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