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Resultados del tratamiento para la Tripanosomiasis Africana en la República Democrática del Congo: Análisis de datos rutinarios del mayor programa de control de la enfermedad del sueño
Author(s) -
Hasker E.,
Mpanya A.,
Makabuza J.,
Mbo F.,
Lumbala C.,
Kumpel J.,
Claeys Y.,
Kande V.,
Ravinetto R.,
Menten J.,
Lutumba P.,
Boelaert M.
Publication year - 2012
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2012.03042.x
Subject(s) - african trypanosomiasis , medicine , disease control , declaration , tuberculosis , family medicine , geography , trypanosomiasis , environmental health , political science , immunology , law , pathology
Objective To enable the human African trypanosomiasis (HAT) control program of the Democratic Republic of the Congo to generate data on treatment outcomes, an electronic database was developed. The database was piloted in two provinces, Bandundu and Kasai Oriental. In this study, we analysed routine data from the two provinces for the period 2006–2008. Methods Data were extracted from case declaration cards and monthly reports available at national and provincial HAT coordination units and entered into the database. Results Data were retrieved for 15 086 of 15 741 cases reported in the two provinces for the period (96%). Compliance with post‐treatment follow‐up was very poor in both provinces; only 25% had undergone at least one post‐treatment follow‐up examination, <1% had undergone the required four follow‐up examinations. Relapse rates among those presenting for follow‐up were high in Kasai (18%) but low in Bandundu (0.3%). Conclusions High relapse rates in Kasai and poor compliance with post‐treatment follow‐up in both provinces are important problems that the HAT control program urgently needs to address. Moreover, in analogy to tuberculosis control programs, HAT control programs need to adopt a recording and reporting routine that includes reporting on treatment outcomes.