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TB14: Postgraduate Training: Petersburg general health services

Project title TB14: Postgraduate Training: Petersburg general health services
Database CBSS Task Force on Communicable Disease Control in the Baltic Sea Region
ID in the source database 186
Thematic area Tuberculosis
Topic Baltic Sea Region/Barents Region
Project geographical area Russia
Substate level / administrative units /regions St. Petersburg
Lead partner (organisation) Saint Petersburg Medical Academy of Post-Graduate Studies (MAPS)
Lead partner (owner or/and project manager) no data
Partner organisations
Start date 2002-04-01
End date 2004-12-31
Duration (months) 33
Target audience Staff of PHC, polyclinics and general hospitals' personnel in the pilot area, the staff of TB dispensaries of Northwest Russia, national and local authorities for prevention and control of TB, national and local TB authorities.
Summary With a deteriorating epidemiological situation, the prevention and control of tuberculosis (TB) has become an important problem not only for the specialized TB service in Russia but also for the health services in general. The rapid increase in TB incidence and morbidity, late detection of disease leading to an increase in the number of patients with severe forms of TB, the problem of MDRTB and the high level of disability by TB are the main problems for the TB services. In this situation, a focus on early diagnosis and prevention of TB are very important. Currently, a high proportion of patients are diagnosed in late stage of disease with multiple cavities and excretion of Mycobacterium tuberculosis in sputum. In St-Petersburg in the year 2000 more than 40% of people who died from TB were unknown and not registered by the TB service (A.K. Ivanov, 2000).

As well known the patient with respiratory complaints is likely to first appeal to the general health services (GHS) and thus the knowledge of GHS personnel as concerns TB is important for prevention and early diagnosis of TB and eventual decrease in the number of patients with severe forms of TB. These tasks require competence of GHS personal. The present level of knowledge as concerns TB is unsatisfactory because of the isolation of the specialized TB services and the absence of vigilance among GHS physicians. In St. Petersburg in 1998, 37% of TB patients were first hospitalized in general hospitals and stayed there from 2-3 days to 1,5-2 months.

All these facts demonstrate the necessity of improving knowledge on TB among personnel in the GHS. It is proposed to establish a postgraduate training program for GHS personnel and develop guidelines for the prevention and control of TB in the GHS. The first step will be to create a working group for drafting the program and guidelines. The members of the group should prepare a pilot program and test it in six training courses for GHS doctors in one of the districts of ST-Petersburg (3) and in Leningrad oblast (3). Before and after every course questionnaires will test GHS doctors' knowledge. After each training course the working group will analyze and if it is necessary modify and adapt the program. Every ½ year working group will also analyze the effectiveness of teaching by evaluation of the implementation of services and the epidemiological situation in the pilot districts. The program will be in accordance with national and international recommendations. On the basis of experience from the program, local and national regulations on TB prevention programs can be dveloped / adapted.

The program and guidelines will be reviewed and evaluated by national and international experts. The final version will be published.
Background no data
  • Organization of working group (trainers) for creating the program and analyzing experience of national and international education programs and guidelines
  • Development of continuing education program for GHS personal and checking its effectiveness by organizing training courses
  • Writing of guidelines for prevention and early diagnosis of TB based on the results of the education program and national and international recommendations
  • Specific objectives/indicators no data
    Results no data
    Total foreseen budget EUR 29,652
    Total implementation costs
    (for completed projects, if available)
    no data
    Conversion to € was done on
    (according to the relevant
    exchange rate at
    Infoeuro Monthly Files)
    no data
    Financing agencies / organisations no data
    Project's URL / project's website no data
    Papers associated with this project no data
    Further information no data
    Last posted: on 2009-08-25 at 13:11:34

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