Highlights from National Tuberculosis and Leprosy Program (NTLP)

Author: Paul Edward Okello, UNIPH

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Uganda like most of Sub-Saharan Africa is battling the dual Tuberculosis (TB) and HIV/AIDS epidemic. This dual epidemic has resulted in a fourfold increase in the notification numbers of TB cases in the region. Furthermore TB stands as the number one single killer of HIV/AIDS patients.

The clinical presentation of TB among the dually infect- ed persons changed and this has a bearing on the clinical management and design of the public health interventions to effectively respond to the dual epidemic.

On 24 March, 2017, Uganda joined the rest of the World in commemorating the World TB Day; cerebrations were held at Atiri Primary School Playgrounds, Mukuju Sub-county, Tororo District. The Theme was ‘Unite to end TB’ and the slogan was ‘Find the Missing Patients with TB’. All partners pledged to scale up efforts towards finding missing TB patients.

Scaling up of trainings and mentorships for pediatric TB in lower level facilities countrywide was emphasised. This follows documented low capacity among health care workers to diagnose TB in children. Currently NTLP notifies about 7.0% TB among children against the expected 15 – 20% of all TB case notification.

In November 2016, The Uganda Cancer Institute received autonomy as an institution of the Ministry of Health to oversee and monitor cancer control activities in the country. Given this power and authority, the institute gained momentum and plans to implement the following:

  • Improve access to cancer services in the country by establishing four regional cancer treatment centers in Gulu, Mbarara, Arua and Mbale Regional Referral
  • Improve cancer registration in the country through establishment of population based cancer registries in different parts of the county. The first registry to be established is Mayuge Cancer Registry (MCR) at Kigandalo HC IV which will serve as a model project for all cancer registries.
  • Conduct the International Atomic Energy Impact As- This is planned to be done in April 2017.
  • Organize periodic national cancer conferences to showcase the progress and challenges in cancer control efforts in the
  • Establish a fully functional Radiotherapy
  • Oversee activities of the East African Oncology Center of Excellence funded by African Development

Uganda Cancer Institute has now become a Regional Centre of Excellence

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