Collaboration between tuberculosis control programs and the action plan for tackling antimicrobial resistance: An opportunity in the Eastern Mediterranean Region

Hasan, Rumina; Shakoor, Sadia; Baghdadi, Samiha; Mafi, Alireza; Aziz, Mohammad

doi:10.1016/j.ijmyco.2016.09.059

Cited by 2 publications

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“…Furthermore, another study highlighted recurring gaps in TB care across multiple EMR countries, primarily linked to restricted access to essential resources. 32 Collaborative efforts involving government agencies, non-governmental organizations, international partners, and civil society can help mobilize resources and support for TB prevention, surveillance, diagnosis, and treatment in the country.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the National Tuberculosis Program and Tuberculosis Surveillance System, Jordan 2021

Khader,

Al-Rahamneh,

Abu Khudair

et al. 2024

SAGE Open Medicine

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Objectives: Evaluate and determine the gaps in the National Tuberculosis Program and Tuberculosis Surveillance System in Jordan. Methods: A concurrent embedded mixed quantitative/qualitative methods study was conducted to assess the National Tuberculosis Program and Tuberculosis Surveillance System in Jordan. A semi-structured questionnaire was developed based on the Updated CDC Guideline for Evaluating Public Health Surveillance System to collect necessary information from service providers and other stakeholders. Results: The National Tuberculosis Program and Tuberculosis Surveillance System encounter various gaps and challenges across several critical domains, including infrastructure, human resources, National Tuberculosis Program functions, surveillance system performance, coordination, case findings, and data collection and notification. Regrettably, not all of the Tuberculosis Surveillance System’s objectives were successfully achieved in the past. Coordination of tuberculosis services has been repeatedly reported as inadequate. This deficiency manifests in the delay in diagnosing tuberculosis patients and, in some instances, misdiagnoses. The root cause is often traced back to insufficient knowledge of tuberculosis case definitions among healthcare providers at peripheral tuberculosis clinics. Additionally, a structured approach to active case finding is conspicuously absent. Furthermore, the tuberculosis management guidelines remain unfamiliar to many healthcare providers in tuberculosis centers, leaving them inadequately equipped to handle tuberculosis cases effectively. The utilization and analysis of the system’s data are also far from optimal. A glaring concern is the delay in tuberculosis case notifications received from the stakeholders involved in the Tuberculosis Surveillance System. Conclusions: Our study showed different gaps in the National Tuberculosis Program and Tuberculosis Surveillance Systems across several areas. The structure of National Tuberculosis Program and the clinical expertise of human resources do not support tuberculosis elimination. An electronic data collection and notification system is essential to facilitate tuberculosis case detection, reporting, and follow-up. Decision-makers should push the tuberculosis epidemic on the national health agenda. Jordan should focus on allocating national and international resources for tuberculosis control programs.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the National Tuberculosis Program and Tuberculosis Surveillance System, Jordan 2021

Khader,

Al-Rahamneh,

Abu Khudair

et al. 2024

SAGE Open Medicine

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“…For example, a comprehensive study conducted in Egypt found that a concerning 81% of Escherichia coli isolates displayed resistance to at least one antibiotic, with 62.5% showing resistance to multiple drugs [11]. To facilitate policy development and strategic planning for collaborative efforts, Hasan et al conducted a review of tuberculosis (TB) control and AMR programs in the EMR in 2016 [12]. This review identified gaps in TB care in several EMR countries, mainly due to limited resources.…”

Section: Review Amr In Eastern Mediterranean Countriesmentioning

confidence: 99%

Antimicrobial Resistance: Stewardship and One Health in the Eastern Mediterranean Region

Nashwan,

Barakat,

Niaz

et al. 2024

Cureus

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Antimicrobial resistance (AMR) is a major threat in the Eastern Mediterranean region (EMR) due to factors such as the high prevalence of infectious diseases, weak health systems, and the misuse of antimicrobials. This paper aims to discuss how interdisciplinary action and collaboration, specifically through antimicrobial stewardship (AMS) and the One Health approach, can effectively address AMR in the EMR. The review focuses on successful AMS initiatives and the adoption of the One Health approach in countries within the EMR, including the Gulf Cooperation Countries (GCC), Egypt, Iran, Jordan, and Pakistan. The goal is to highlight the potential for progress in combating AMR and identify challenges and opportunities for strengthening interdisciplinary collaboration. The results showcase successful AMS programs and One Health initiatives in various EMR countries, demonstrating their potential to address AMR challenges. The paper also discusses the challenges faced by these nations, such as limited resources, fragmented health systems, and knowledge gaps. Additionally, opportunities for enhancing interdisciplinary action through regional cooperation, international partnerships, and research and innovation are outlined. In conclusion, this paper emphasizes the importance of a comprehensive and collaborative response to combat AMR in the EMR. It advocates for the One Health approach as a crucial framework to guide these efforts, promoting coordinated action, improved surveillance, responsible antimicrobial use, and enhanced interdisciplinary collaboration to effectively mitigate the threat of AMR.

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Collaboration between tuberculosis control programs and the action plan for tackling antimicrobial resistance: An opportunity in the Eastern Mediterranean Region

Abstract: Given the global commitment and potential availability of resources towards controlling AMR, collaboration between the two programs is discussed towards a more efficient use of resources in the region.

Cited by 2 publications

References 0 publications

Evaluation of the National Tuberculosis Program and Tuberculosis Surveillance System, Jordan 2021

Evaluation of the National Tuberculosis Program and Tuberculosis Surveillance System, Jordan 2021

Antimicrobial Resistance: Stewardship and One Health in the Eastern Mediterranean Region

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