Publications by authors named "W Mulanda"
Background: The rate of TB in prison institutions is estimated to be 23 times higher than in the general population. Limited documentation exists regarding TB screening in Tajikistan's prisons. This study aims to report findings from a TB screening conducted in prison facilities in Tajikistan.
View Article and Find Full Text PDFTajikistan has a high burden of rifampicin-resistant TB (RR-TB), with 2,700 new cases estimated for 2021 (28/100,000 population). TB is spread among household members through close interaction and children exposed through household contact progress to disease rapidly and frequently. We retrospectively analysed programmatic data from household contact tracing in Dushanbe over 50 months.
View Article and Find Full Text PDFArticle Synopsis
- A study evaluated the effectiveness of the Xpert MTB/RIF Ultra assay in detecting tuberculosis (TB) in fresh stool samples from children under 15 years old in Dushanbe, Tajikistan, enrolling 688 participants from April 2019 to October 2021.
- The assay showed a sensitivity of 68.8% and a high specificity of 98.7%, indicating it can effectively identify TB in this population, despite challenges like staffing shortages and outdated protocols due to COVID-19.
- This report, being one of the first from Central Asia and a low-middle-income country, supports the WHO's recommendation to use fresh stool as an acceptable sample for TB testing in young children, who struggle to provide sputum samples.
Family directly observed therapy for children with drug-resistant TB.
Int J Tuberc Lung Dis
August 2022
Objectives: Chad reports the second highest maternal mortality worldwide. We conducted a survey in Sila region in southeast Chad to estimate the use of maternal health services (MHS) and to identify barriers to access MHS.
Design: Retrospective cross-sectional, population-based survey using two-stage cluster sampling methodology.