• Mumbai, India = High proportion DR-TB; >50% population live in urban slums • MSF in Mumbai provides free of charge treatment and care to patients with DR-TB in MSF clinic and government hospital (in collaboration with National TB Programme). [...] OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 © Abhinav Chattergy/ MSF MSF Clinic and MSF-MOH DR-TB OPD 114+1287 Patients under DR-TB care – Active cohort 1129(308) Bedaquilline based regimen – Cumulative (Active) Cohort 307+73* New drug combination– Cumulative (*Post MOH approval) 32 (55)+289 Pediatric DR-TB cohort (0-17 yrs)– Active Cohort (Cumulative) OPERATIONAL RESEARCH DAY, Brussels – 4 J. [...] OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 © Atul Loke/ MSF Treatment Fatigue and Burnout OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 Recommendations by participants Patients and guardians Healthcare providers Recommendations for developing child/adolescent-friendly care • Injectable-free regimen; palatable medications • Interaction with providers • peer-support platforms (separate for. [...] Therefore, ▪ Consider ‘Patient and family as one unit’ for packages of care ▪ Tailored socio-psychological approach along with medical care ▪ Develop patient friendly services – diagnosis, treatment & care OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 © MSF Current initiatives in Project Paediatric DR-TB package • Dedicated paediatric day • Age-appropriate counselling tools • Child-friendly spa. [...] ▪ National TB programme (Local and Central level)- proposal for partnering in Paediatric DR-TB counseling training ▪ National TB Conferences (NATCON) and stakeholder meetings ▪ WHO- Regional office (SEARO) pediatric-focused meeting ▪ Contributed our data in global metanalyses ▪ Recently, invited to share our data and practices- for WHO discussion on adolescents with DR-TB (new guidelines) OPERATIO.
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