Tuberculosis in key populations in Tajikistan – a snapshot in 2017

Zulfiya Tilloeva; Seda Aghabekyan; Karapet Davtyan; Olga Goncharova; Olim Kabirov; Bobojon Pirmahmadzoda; Asliddin Rajabov; Azamdzhon Mirzoev; Garry Aslanyan

doi:10.3855/jidc.11952

Tuberculosis in key populations in Tajikistan – a snapshot in 2017

Authors

Zulfiya Tilloeva Institute of Gastroenterology, Dushanbe, Tajikistan
Seda Aghabekyan Tuberculosis Research and Prevention Center NGO, Yerevan, Armenia
Karapet Davtyan Tuberculosis Research and Prevention Center NGO, Yerevan, Armenia
Olga Goncharova National Center of Phthisiology, Bishkek, Kyrgyzstan
Olim Kabirov National Tuberculosis Reference Laboratory, Vahdat city, Shifo, Tajikistan
Bobojon Pirmahmadzoda Republican Center of Protection of the Population from Tuberculosis, Dushanbe, Tajikistan
Asliddin Rajabov Republican Center of Protection of the Population from Tuberculosis, Dushanbe, Tajikistan
Azamdzhon Mirzoev Institute for Post-Diploma Education in Health Care, Dushanbe, Tajikistan
Garry Aslanyan Special Programme for Research and Training in Tropical Diseases, TDR, World Health Organization, Geneva, Switzerland

DOI:

https://doi.org/10.3855/jidc.11952

Keywords:

Tuberculosis, Tajikistan, key population, operational research, SORT IT

Abstract

Introduction: WHO End TB Strategy aims at achieving targets of 90% mortality reduction and 80% reduction in tuberculosis (TB) incidence by 2030, recommending better addressing TB and multidrug-resistant TB (MDR-TB) issues in key populations.

Aim: The study aimed at having a snapshot of the epidemiological characteristics of the key populations among the new TB patients, registered in Tajikistan during 2017.

Methodology: A cross-sectional study was conducted, using official TB registration data for all new TB case notification in Tajikistan in 2017.

Results: The key population included 1,029 (19.8%) patients among all 5,182 new TB cases registered in 2017. The following selected sub-populations were identified: migrant workers – 728 (70.7%), diabetics – 162 (15.7%), HIV-positive – 138 (13.4%), heavy drinkers – 74 (7.2%), drug users – 50 (4.8%), ex-prisoners – 50 (4.8%), and homeless – 9 (0.9%). Among the key population, 307 (29.8%) patients were smear-positive, 145 (14.1%) were drug-sensitive and 116 (11.3%) had MonoDR/MDR-TB. Time to treatment initiation for smear-positive cases was ≤ 5 days for 303 (98.7%) patients. Being a key population was inversely related to gender (female) (OR = 0.25, 95% CI (0.21, 0.29)) and population type (rural) (OR = 0.64, 95% CI (0.55, 0.74)).

Conclusion: Among the key population the identified overlaps of selected sub-populations would enable more efficiently reaching the certain groups. TB case detection at PHC levels needs to be targeted for improved rates for key population detection. In the key population sub-group of migrant workers’ special migration destinations are recommended to be explored and find out possible associations with drug resistance.

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Published

2020-11-16

How to Cite

Tilloeva Z, Aghabekyan S, Davtyan K, Goncharova O, Kabirov O, Pirmahmadzoda B, Rajabov A, Mirzoev A, Aslanyan G (2020) Tuberculosis in key populations in Tajikistan – a snapshot in 2017. J Infect Dev Ctries 14:94S-100S. doi: 10.3855/jidc.11952

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Issue

Vol. 14 No. 11.1: November 2020 -- SUPPLEMENT

Section

SORT IT TB Key Population

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