Far-Western Nepal Faces Challenges in Tuberculosis Case Detection Despite Control Efforts
Summary
Sudurpashchim Province in far-western Nepal faces challenges in detecting new tuberculosis cases despite ongoing control efforts, with two Terai districts accounting for most cases.
Key Points
- Sudurpashchim Province's target was to detect 6,384 new tuberculosis patients in fiscal year 2082/083, but only 3,651 cases (57%) were detected.
- Kailali and Kanchanpur districts account for 68% of the tuberculosis cases in Sudurpashchim, due to higher population density and migration.
- Detection efforts include modern GeneXpert testing and AI-equipped digital X-ray active case finding campaigns.
- Treatment success rate is 89.94%, but mortality remains a challenge with 3.86% deaths last fiscal year, particularly higher in Achham and Doti districts.