The life expectancy at birth is 65.62 years. The country covers a total area of 118,484 km2. In addition, it was found that the prison only registered male TB patients over the course of the 6 years.There was an increase in the TB cases at the Zomba Central Prison from 2014 to2016 due to the introduction of the TB mass screening campaigns using a mobile X-ray machine while at the Zomba Central Hospital, the TB cases peaked in 2012 and thereafter there was a steady decline from 2013 to 2016. Good TB treatment outcomes which are comparable to the general population can be achieved among Malawian prisoners despite the challenging prison conditions.Tuberculosis (TB) remains a major global health problem.
Since 2000, the annual rate of population has remained around 3%.According to the econometric models, the population of Malawi is estimated to reach 19.08 million by the end of 2020. BMC Pulm Med. 2017;12(2). 2012;2(1):10–4.Hatwiinda S, Topp SM, Siyambango M, Harris JB, Maggard KR, Chileshe C, et al. The central hospitals (located in 4 urban areas) provide tertiary specialized services.There is decentralized provision of TB and HIV services. Treatment outcomes of tuberculosis patients in Brazilian prisons: a polytomous regression analysis. It was the capital of first British Central Africa and then Nyasaland before the establishment of the Republic of Malawi in 1964. Dignitas International provided clinical officers and nurses to support direct service delivery in the prison clinic (due to the shortage of health workers in the prison), and trained and supervised the prison wardens in DOTS.TB services data is captured on paper based registers: chronic cough register for presumptive TB cases, district TB register for active TB cases and TB patient cards for individual monitoring of TB treatment (Table All prisoners and the general population aged 15 years and above who were diagnosed and put on TB treatment at the Zomba Central Prison and Zomba Central Hospital from January 2011 to December 2016 were included (Fig. Disparities in tuberculosis treatment completion by incarceration status, U.S., 1999–2011. BMC Public Health. VS and EK wrote the first draft of the manuscript. Malawi has a land area of almost 119,000 square kilometers, or 99th in the world, with an estimated population of 17.2 million. Available from: Kanyerere H, Harries AD, Tayler-Smith K, Jahn A, Zachariah R, Chimbwandira FM, et al. It shares its borders with Tanzania, Zambia, and Mozambique. The 2018 Malawi Population and Housing census indicates that Zomba city had a human population of 105, 013; representing 22.38 % increase since 2008 (National Statistical Office (NSO, 2018). TB diagnostic services include smear microscopy (widely available in primary care facilities) and GeneXpert MTB/RIF (district and central hospitals) on spot and morning sputum samples. The ethnic groups seen are Chewa 34.3%, Lomwe 18.8%, Yao 13.2%, Ngoni 10.4%, Tumbuka 9.2%, Sena 3.8%, Mang’anja 3.2%, Tonga 1.8%, Nyanja 1.8%, Nkhonde 1%, other 2.2%, and foreign 0.3%.The religion followed by the population are Protestant 33.5%, Roman Catholic 17.2%, other Christian 26.6%, Muslim 13.8%, traditionalist 1.1%, other 5.6%, and none 2.1%.The political framework is Republic with executive President. According to the 2018 census, the The largest religious denomination in Zomba City is Several Christian churches have branches in Zomba, the city is seat of the Zomba Plateau approached from the Blantyre-Zomba road, which was being renovated when this picture was taken in March 2014 You can also search for this author in We retrospectively reviewed TB registers of prisoners and the general population diagnosed with TB from January 2011 to December 2016 at Zomba Maximum Central Prison and Zomba Central Hospital, Malawi. The agriculture sector accounts for 80% of export revenues and one-third of GDP. 2018;13(10):e0205468.Mitruka K, Volkmann T, Pratt RH, Kammerer JS. Descriptive analysis was used to determine the patient characteristics and treatment outcomes. 2011;5(3):179–89.Dara M, Chadha SS, Melchers NV, van den Hombergh J, Gurbanova E, Al-Darraji H, et al. TB remains a major global health problem. This can be stated as one person out of every 453 people in the world is a resident of Malawi. Health Policy Plan. Available from: Wehrman MM. EPTB cases in the two populations remained stable over the 6 year period (Fig. TB treatment follows Direct Observed Treatment Strategy (DOTS).Malawi prisons are categorized into high and low facilities. 2017;17(1):132.Nglazi MD, Bekker L-G, Wood R, Kaplan R. The impact of HIV status and antiretroviral treatment on TB treatment outcomes of new tuberculosis patients attending co-located TB and ART services in South Africa: a retrospective cohort study. The author(s) read and approved the final manuscript.Ethical approval was obtained from The College of Medicine Research Ethics Committee (COMREC Reference No: P.05/18/2394).
Chancellor College, the largest of the constituent colleges of the University of Malawi, is located in Zomba. Also fresh and dried fish from Zomba Hospital is an important employer and one of the biggest hospitals in the country.Zomba Central Prison was built in 1935 is the only maximum security prison in Malawi. English is the official language.Lilongwe has the highest population, followed by Blantyre, Mzuzu, and Zomba.The population is seen to have a steady increase since 1990. Public Health Action.
We used descriptive statistics to compare the demographics and TB treatment parameters among prisoners and non – prisoners and computed multivariate analysis to predict the independent factors of unsuccessful treatment outcomes.Of 1652 registered cases, 27% were prisoners (all males) and 72% were non-prisoners (58% males).
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