Effects of Medical and Nutritional Program on Pulmonary Tuberculosis Treatment Outcome Among Detainees in the Prison of Bertoua, Cameroon (2016-2018)
Central African Journal of Public Health
Volume 5, Issue 6, December 2019, Pages: 237-245
Received: Sep. 1, 2019; Accepted: Sep. 27, 2019; Published: Oct. 10, 2019
Views 46      Downloads 10
Authors
Linjouom Nchoutpouen Abdou Aziz, Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon; Contract Development and Verification Agency of West Regional Fund for Health Promotion, Bafoussam, Cameroon
Assob Nguedia Jules Clément, Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon
Chichom Mefire Alain, Department of Surgery and Obs/Gyn, Faculty of Health Sciences, University of Buea, Buea, Cameroon
Bessong Joseph Bessong, Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon
Njajou Tchikamgoua Omer, School of Public Health, University of Minnesota, Minnesota, USA
Article Tools
Follow on us
Abstract
This retrospective and cross-sectional study in the Bertoua prison, which has benefited from the International Committee of the Red Cross (ICRC) medical and nutrition program since 2015, assesses its effect in improving the therapeutic success rates of anti-TB treatments compared to that of Douala, not beneficiary and chosen as a witness. There was an exhaustive collection of new and old TB cases diagnosed at entry, before or during incarceration between January 1st and December 31st, 2018. Of the 975 and 3300 people incarcerated on average during this period Bertoua and Douala prisons, 27 cases and 79 cases of TB were recorded. The diagnosis of the cases was made according to the good clinical practices recommended by the National Tuberculosis Control Program (NTCP). At the delivery of the results only 37.0% and 6.6% of these screened detainees were put on treatment on the first day and some later (p <0.05). Of the 23 and 51 new cases in 2018, 14 and 47 patients were put on a 6-month anti-tuberculosis treatment in the first two quarters, 2 cases (14.3%) and 14 cases (29.8%) did not experience therapeutic success (p <0.05). Moreover, with 85.20% of new cases in Bertoua prison compared to 64.5% in Douala prison in 2018 (p <0.1), there are more unhealed patients after treatment than in Bertoua in 2018. In 2016 and 2017, we cannot conclude. From the above, this program must be generalized. It is also necessary to develop and use new, more practical diagnostic methods, to systematize the screening of prisoners in general and at risk, to perform treatment more quickly after screening, to improve the supervision of cases under treatment, to create conditions conducive to care in prison and at the exit.
Keywords
Effect, Medical, Nutritional, Program, Tuberculosis, Treatment, Outcome, Detainees
To cite this article
Linjouom Nchoutpouen Abdou Aziz, Assob Nguedia Jules Clément, Chichom Mefire Alain, Bessong Joseph Bessong, Njajou Tchikamgoua Omer, Effects of Medical and Nutritional Program on Pulmonary Tuberculosis Treatment Outcome Among Detainees in the Prison of Bertoua, Cameroon (2016-2018), Central African Journal of Public Health. Vol. 5, No. 6, 2019, pp. 237-245. doi: 10.11648/j.cajph.20190506.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Nicole Hanssen. fight against tuberculosis: southern health programs in Mali and Madagascar. Quarterly Info [Internet]. March 2019 [cited April 4, 2019] (No. 121, Health South): 1. Available on: www.santesud.org.
[2]
Systematic Review of Tuberculosis Treatment Studies. Center for the Development of Good Practices in Health [Internet]. [cited March 28, 2018]; 1&4. Available on: www.cdbph.org.
[3]
Lack of resources for prisons is having a severe impact on the lives of millions of detainees. [Internet]. Geneva: International Committee of the Red Cross; 2014 [cited Oct. 25, 2018]. Available on: https://www.icrc.org/en/document/annual-conference-international-corrections-and-prisons-association-icpa.
[4]
Global AIDS Update. [Internet]. WHO, cited by the report of UNAIDS; 2017 [cited sept. 20, 2018]. Available on: http://www.unaids.org/sites/default/files/media_asset/Global_AIDS_update_2017_en.pdf.
[5]
The Human Rights Watch global report on prisons. [Internet]. New York: Human Rights Watch; 1993 [cited oct. 25, 2018]. Available on: (https://www.hrw.org/ report/1993/06/01/human-rights-watch-global-report-prisons).
[6]
Report on international prison conditions. [Internet]. Washington, DC: U.S. Department of State; 2013 [cited oct. 25, 2017]. Available on: (http://www.state.gov/j/drl/rls/209944.htm)
[7]
Lines R. The right to health of prisoners in international human rights law. Int J Prison Health. 2008.
[8]
Prison health, a practical guide. International Committee of the Red Cross (ICRC) [Internet]. jan. 2017 [cited feb. 10, 2018]. Available on: www.cicr.org
[9]
Global prison trends 2015. [Internet]. London: Penal Reform International; 2015 [cited oct. 25, 2017]. Available on: (http://www.penalreform.org/resource/global-prison-trends-2015/)
[10]
Ferreira MMC, Ferrazoli L, Palaci M, Salles PS, Medeiros LA, Novoa P, et al. Tuberculosis and HIV infection among female inmates in São Paolo, Brazil: a prospective cohort study. J Acquir Immune Defc Syndr Hum Retrovirol [Internet]. 1996 [cited feb. 22, 2018]; Available on: (http://journals.lww.com/jaids/Fulltext/1996/10010/Tuberculosis_and_HIV_Infection_Among_Female.9.aspx).
[11]
Unjust and unhealthy. [Internet]. New York: Human Rights Watch; 2010 [cited feb. 22, 2018]. Available on: (https://www.hrw.org/report/2010/04/27/unjustand-unhealthy/hiv-tb-and-abuse-zambian-prisons.
[12]
Todrys KW, Amon JJ. Health and human rights of women imprisoned in Zambia. BMC Int Health Hum Rights. 2011.
[13]
N. Koffi, A. K. Ngom, A. Séka, N. Kouassi, D. Fadiga. Bacilliferous pulmonary tuberculosis in prison: our experience at the penal camp of Bouaké, Ivory Coast. 1997.
[14]
Report on key prisoners [Internet]. Geneva, Switzerland: Global Fund to Fight AIDS, TB & Malaria; 2015 nov [cited march 15, 2018]. Available on: www.stoptb.org.
[15]
Report of the National Tuberculosis Program. Yaounde: MINSANTE/NTCP; 2016, 2017 and 2018.
[16]
Internship report of ENAP students in Buéa at the Bertoua Central Prison. Bertoua Central Prison; 2018 p. 21.
[17]
Colleen D, Caoimhe S, Farihah M, Jacob C, James Ayre. Case Study on Key Populations, Prisoners [Internet]. Geneva: International Committee of the Red Cross; 2016 [cited 4 Apr. 2018] p. 10. Available on: https://www. icrc.org/en/document/ annual-conference-international-corrections-and-prisons-association-icpa.
[18]
Prisons and health. Copenhagen: WHO Regional Office for Europe. 2014 [cited 25 oct. 2018]; Available on: http://www.euro.who.int/data/assets/pdf_fle/0005/249188/Prisons-and-Health.pdf.
[19]
Reid SE, Topp SM, Turnbull ER, Hatwiinda S, Harris, JB, Maggard KR, et al. Tuberculosis and HIV control in sub-Saharan African prisons: “thinking outside the prison cell.” J Infect Dis. 2012.
[20]
Bone A, Aerts A, Grzemska M et al. Tuberculosis control in prisons. A manual for programme managers. WHO/CDS/TB/. 2000.
[21]
Lobato M, Roberts C, Bazerman L, Hammett T. Public health and correctional collaboration in tuberculosis control. Am J Prev Med. 2004; (27 (2): 112-117).
[22]
Biadglegne F, Rodloff AC, Sack U. Review of the prevalence and drug resistance of tuberculosis in prisons: a hidden epidemic. Epidemiol Infect. 2015.
[23]
Prisons and health. WHO Regional Office for Europe [Internet]. 2014 [cited, Oct. 25, 2015]. Available on: (http://www.euro.who.int/__data/assets/pdf_fle/0005/249188/Prisons-and-Health.pdf).
[24]
Baussano I, Williams BG, Nunn P, Beggiato M, Fedeli U, Scano F. Tuberculosis incidence in prisons: a systematic review. PLoS Med. 2010.
[25]
Reyes H. Pitfalls of TB management in prisons. 2007. Available on: (https://www.icrc.org/eng/resources/documents/article/other/tuberculosis-article-220307.htm, visited on Oct. 25, 2018).
[26]
Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward. Lancet. 2010.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186