Objectives: Assessment outcome of DOTS (Directly observed therapy short course) program in Al-Sader City
Sector that was established by the WHO.
Methodology: Three cohorts groups of patients attending Baghdad TB institute and TB center in Al-Sader city
were followed retrospectively. The 1st cohort included (314) patients registered in year (2003), the 2nd cohort
included (327) patients registered in year (2004), the 3rd cohort included (321) patients registered in year
(2005). The collected data were analyzed for case detection, treatment outcomes, retreatment outcomes,
treatment success, and retreatment success in regard to time, age and sex.
Results: The following rates were extracted for the three cohort: Case detection rate within 1st, 2nd, and 3rd
cohort were (73.36%, 64.24%, and 71.49% respectively).Treatment outcomes (cured, completed treatment,
defaulters, treatment failure, died and transfer out) of new smear positive patients within the 1st, 2nd and 3rd
were (71.7%, 12.7%, 10.2%, 3.5%, 1%, 1%), (64.8%, 19.9%, 0.9%, 7%, 0.6%, 6.7%) and (61.4%, 24%, 3.1%, 5.9%,
0.6%, 5% respectively).Retreatment outcomes (cured, completed treatment, defaulters, treatment failure, died
and transfer out) within 1st, 2nd and 3rd cohort were (55.6%, 7.9%, 6.6%, 15.2%, 4%, 10.6%), (44.9%, 7.7%,
2.6%, 21.8%, 4.5%, 18.6%) and (41.8%, 14.6%, 11.4%, 19.6%, 1.9%, 10.8% respectively. Treatment success rate
within the 1st, 2nd and 3rd cohort were (84.39%, 84.7%, and 85.35%) respectively. Retreatment success rate
within the 1st, 2nd and 3rd cohort was (63.57%, 52.56%, and 56.32%) respectively.
Recommendation :Increase case detection rate through increase health awareness to the community about
the mode of transmission and risk of TB disease, Increase the training of health team so that they can follow up
of patients at home, Increase follows up of defaulters to be able to deal with them and a study for relapses
cases is recommended
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Witnessing the global arena many changes in the political, economic, social, scientific and technological have left their mark on the world as a whole, these changes require necessarily Advancement of the profession of auditing, and improve their performance, especially after the mixer skepticism the health of approach and the method followed by a check in the major audit firms global view as for the external audit of an active role in providing services to members of the community in various sectors, were to be provide these services to the highest level of quality.To ensure the quality of the audit process to be a proper planning is based on a scientific basis to be the substrate a strong underlying different audit works, and if planni
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