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
The most prominant goal aimed at by contemporary islamic ideology is to present Islam to the whole world as a message of God that establishes for man a supreme civilization to accomplish justice, peace, development and prosperity
This mission is hindered by many obstacles that create Islamic ideology crisis such as loss of Comprehensive unifying vision which led to the loss of correct vision. This resulted in a Weakness of Priority arrangement and national interests a accomplishment.
There is also a problem of the curriculum that teaches Islamic ideology .
Another problem is that of the concept taken from Islamic culture.
Also another Problem Is the lack of understanding of
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