The Mpumalanga health department plans to repurpose three TB hospitals due to the dwindling number of in-patients. | SpotlightNSP
Critics of forced hospitalisation argued it discouraged people from seeking help and there were not nearly enough beds for everyone with DR-TB, something that would both limit the efficacy of the approach in preventing infections and would make it hard to justify forced hospitalisation of some people with DR-TB and not others.Most people with TB are thought to become non-infectious within a few weeks of starting treatment.
"Last year in September, a departmental circular was issued where nurses and doctors were given an option of which health facilities they want to go and work. In 2017, Nkangala, for example, had a DR TB treatment success rate of 60.2%, which was above the national rate of 53%. Also, in the 2018/19 financial year, the report stated, the DR treatment success rate in Ehlanzeni was 61.7%, above the national average of 49.6% for that year. from a study published in 2021 following a spatial analysis done to check for MDR-TB in Mpumalanga between 2013 and 2016, provided some insight into DR-TB in the province over the years.
Ehlanzeni had the highest incidence with 110.5 cases per 100 000, followed by Gert Sibande with 104.9. Nkangala District had the lowest incidence with 58.5 cases per 100 000 people.By 2017, the District Health Barometer flagged Mpumalanga as having the highest rate of MDR-TB of all provinces - then recorded at 7.8% of all TB cases in the province.
On treatment, the target was to successfully treat at least 90% of those diagnosed with TB . The target is also for a 90% treatment success rate for drug-sensitive and at least a 65% treatment success rate for multi-drug resistant TB.According to Malamule, 90% of people who visited health facilities in the province last year were screened for TB.This means that, on average, eight out of 10 TB patients in the province are treated successfully.
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