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008    020129s2017    dcu     o    i00  0 eng^^
024 7  10.1596/27665 |2doi
035    (CKB)4920000001213081
035    (The World Bank)27665
035    (US-djbf)27665
035    (EXLCZ)994920000001213081
040    DJBF |beng |cDJBF |erda
100 1  Agapitova, Natalia.
245 10 OpASHA : |bImproving Tuberculosis Treatment and Outcomes. / |cNatalia Agapitova.
246    OpASHA
264  1 Washington, D.C. : |bThe World Bank, |c2017.
336    text |btxt |2rdacontent
337    computer |bc |2rdamedia
338    online resource |bcr |2rdacarrier
347    data file |2rda
490 1  Other papers
520 3  Tuberculosis (TB) afflicts 2.8 million citizens in India, representing more than 30 percent of the world's total burden. To control TB, complete adherence to treatment is crucial-under the World Health Organization's (WHO) Directly Observed Therapy Short-course (DOTS) strategy. In this strategy, patients are required to take up to 75 doses under supervision over six months at a treatment center or in the presence of an observer. However, the scarcity or inaccessibility of treatment centers and truthful observers in hard to-reach areas often results in high default rates. Missing a dose or interrupting treatment is extremely dangerous, since those who default can relapse, or much worse, develop the deadlier, drug-resistant strain of TB. A continuing social stigma for those who have TB is also linked to incomplete treatment and lack of follow-up. There is poor data collection as well. Since 2006, Operation ASHA (OpASHA) has helped deliver the Last-mile connection to TB treatment and prevention in India by leveraging existing government infrastructure to supplement the country's own efforts. OpASHA receives free medicines, diagnostic facilities and physician services from the national TB control program. Through a partnership with Microsoft Research, OpASHA has pioneered a biometric technology called eCompliance for treatment. OpASHA serves 10 million people in nine states across India, in addition to 2.2 million people in Cambodia. OpASHA has expanded to Cambodia, and its model has already been replicated in Uganda, Kenya, and the Dominican Republic.
650  4 Cholera
650  4 Communicable Diseases
650  4 Diabetes
650  4 Health
650  4 Health Care Services Industry
650  4 Health Economics & Finance
650  4 Health Service Management and Delivery
650  4 Health, Nutrition and Population
650  4 Industry
650  4 Leprosy
650  4 Treatment
650  4 Tuberculosis
700 1  Agapitova, Natalia.
700 1  Navarrete Moreno, Cristina.
830  0 Other papers
830  0 World Bank e-Library.
906    BOOK