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Frontiers | Public–Private Mix Models of Tuberculosis Care in Pakistan: A High-Burden Country Perspective

Introduction: Pakistan ranks fifth in the globally estimated burden of Tuberculosis (TB) case incidence. Annually, a gap of 241,688 TB patients exists between estimated TB incidence and actual TB case notification in Pakistan. These undetected/missed TB cases initiate TB care from providers in the private healthcare system who are less motivated to notify patients to the national database that leads to significant under-detection of actual TB cases in the Pakistani community. To engage these private providers in reaching out to missing TB cases, a national implementation trial of the Public-Private Mix (PPM) model was cohesively launched by NTP Pakistan in 2014. The study aims to assess the implementation, contribution, and relative treatment outcomes of cohesively implemented PPM model in comparison to the non-PPM model. Methods: A retrospective record review of all forms (new and relapse) TB patients notified from July 2015 to June 2016 was conducted both for PPM- and non-PPM models ....

United States , France General , South Africa , North West Frontier , Jawa Timur , South African , Rabbani Sana , Coll Abbottabad , Asia Pacj Public Health , Program For Research , Research Unit , Quaidi Azam University Islamabad , Ministry Of National Services , Ethics Committee , Global Health Sci Prac , National Guidelines For The Control Of Tuberculosis , Public Health Action , National Health Accounts Pakistan , Data Surveillance Team , Health Policy Plan , World Health Organization , National Academies , Mediterr Health , National Tuberculosis Control Program Of Pakistan , Epidemiol Global Health , Public Health ,

Fort Bragg soldiers help Cumberland County Animal Shelter


“The ideal situation is spay and neuter them before they get adopted,” Kelly said. “That way, there’s no lag time, because it sucks for someone to come and say, ‘This is my animal, and then we say, ‘Oh wait, you can’t take it home because it’s not fixed.’” 
Recovery time from the procedures takes from 10 to 14 days, she said.  
Fort Bragg’s First Year Graduate Veterinary Education program has been around since about 2011, and Fort Bragg is one of seven sites in the Army for the program, said Lt. Col. Jake Barnoski, a clinical instructor for the program.   ....

United States , Rachael Riley , Claire Squires , Jake Barnoski , Miriam Firth , Carly Roche , Elaine Smith , April Kelly , Rebecca Hamer , Department Of Army , Public Health Activity , Detachment Veterinary Service , How Fort Bragg , Cumberland County Animal , Cumberland County , First Year Graduate Veterinary Education , Cumberland County Animal Shelter , Fort Bragg , Public Health , Army Reserves , Special Forces , Medical Detachment Veterinary Service Support , Services Director Elaine Smith , ஒன்றுபட்டது மாநிலங்களில் , ரேசல் ரைலி , கிளாரி சதுரங்கள் ,