World Health Organization : Report on a European Syposium Convened by the Regional Office for Europe, World Health Organization, Tuberculosis Technical Info., No. 78.72, No. 78: Guidelines for Nursing in Tuberculosis Control Programmes

By World Health Organization

Book Id: WPLBN0000228992
Format Type: PDF eBook
File Size: 0.8 MB
Reproduction Date: 2005

Title:	World Health Organization : Report on a European Syposium Convened by the Regional Office for Europe, World Health Organization, Tuberculosis Technical Info., No. 78.72, No. 78: Guidelines for Nursing in Tuberculosis Control Programmes
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Report on a European Syposium Convened by the Regional Office for Europe, World Health Organization, Tuberculosis Technical Info., No. 78.72, No. 78. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
1. INTRODUCTIOK Tho purpose of this document is to provide guidelines for the utilization of nursing services in tuberculosis control programmes. These guidelines deal with the need for such services, as well as their planni,ng, organization and implementation. They derive from ninny years of practical experience in the field, especially in developing countries. The magnitude of the tuberculosis probloln on a global basis can be understood from the following information released by the Tuberculosis unit of the World Health Organization: 1 an estimated 15 million peoplo suffer from infectious tuberculosis in the world today, sfid more than three inillion die annually. Approximat~ly two to three million new cases occur each year, and in less developed countries special surveys have revealed that one person in every hundred may suffer from infectious tuberculosis. Therefore, the mnnagement of such an important health and social matter imposes a duty not only on governments but on citizens as well. In this context the contribution of voluntary agencies should not be underestimated, sinC0 many countries attribute -their success in tuberculosis control programmestothe activities of these groups. $k .c:- A tuberculosis control programme in its broadest sense has three mainfunction.;: prevention, caso-finding and treatment, and must be seon in its total relation to other health services, both preventive and curactve. More sp~cifically, epidemiological and demographic factors, such aii birth-rates, mortality rates in general, tuberculosis prevalence, as well as morbidity and mortality rates will influence the type of programme to be adopted. The main considoration, of course, will be the availability of resources in terms of both funds and personnel.

Table of Contents
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 . HISTORY OF TUBERCULOSIS CONTROL . . . . . . . . . . . . . . . . . . . . . . 3 2.1 Gener~l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.2 Tuberculosis hospitals and sanatoria . . . . . . . . . . . . . . . . . . . . 4 2.3 Tuberculosis dispensaries . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.4 BCGvaccination . . . . . . . . . . . . . . . . . . . . . . 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 2.5 Chemotherapy 5 2.6 Changing role of the nurse from hospital to community care . . . . . . . . 6 ! 3 . FUNCTIONS OF NURSES AT DIFFERENT LEVELS . . . . . . . . . . . . . . . . . . . . . 7 3.1 At the peripheral level . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 3.1.1 Inprevention . . . . . . . . . . . . . . . . . . . . . . . . . 7 3.1.2 In case-finding . . . . . . . . . . . . . . . . . . . . . . . . 9 3.1.3 Tn ambulatory chemotherapy . . . . . . . . . . . . . . . . . . . . 9 3.1.3.1 Registration and referral . . . . . . . . . . . . 9 3.1.3.2 Priorities . . . . . . . . . . . . . . . . . . . . . . 10 3.1.3.3 Initial interview . . . . . . . . . . . . . . . . . . . . 10 3.1.3.4 Initial home visit . . . . . . . . . . . . . . . . . . . . 10 3.1.3.5 Follow-up . . . . . . . . . . . . . . . . . . . . . . . . 31 3.1.3.6 Default as to drug intake . . . . . . . . . . . . . . . . 12 3.1.3.7 Drugresi$tance . . . . . . . . . . . . . . . . . 13 3.2 At the intermediate level . . . . . . . . . . . . . . . . . . . . . . . . . . 13 3.2.1 General administrative responsibilities . . . . . . . . . . . . . . 13 3.2.2 Supervisoryresponsibilities . . . . . . . . . . . . . . . . . . . . 14 3.3 At the central level . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 0.3.1 Respon~ibilities to the Ministry of Health . . . . . . . . . . . . . 15 3.3.2 Responsibilities to nurses at intermediate levels . . . . . . . . . 16