Apollo & The Union, Tangisa Pilot Chirongwa

Chishandiso chakasarudzika chinogonesa kutevedzera kurapwa kweTB kuburikidza nezviyeuchidzo zveSMS, nharembozha dzekutaura uye masevhisi ekuraira
Mushonga wekushandisa kudzivirira kupararira kwechirwere

Hyderabad, Kurume, 2015: 'The Union' (International Union Against Tuberculosis and Lung Disease) yakabatana neApollo Hospitals, Hyderabad, iri kuparura chirongwa chekuyedza kubatanidza kurapwa kweTB kunoitwa mubazi rakazvimirira rehutano neNational TB Control Program kuburikidza newebhu-based software application. Ichi chishandiso chinogonesa kuvandudzwa kwetibhii ziviso, kuomerera kwemurwere pakurapwa uye kuona mhedzisiro iri nani.

Iyo software yekuvandudza inobatanidza nzvimbo yehutano yakazvimirira neHurumende yeIndia's TB yekuzivisa portal Nikshay. Inotsigira varwere veTB panguva imwe cheteyo kuti vatevedze kurapwa kuburikidza nemameseji, nharembozha dzekutaura uye mabasa ekuraira. Kuparurwa kwechirongwa chekuyedza kushandisa chirongwa chekudzora nekurapa TB kwakaziviswa naAmai Sangita Reddy, Dy. Managing Director, Apollo Hospitals Group; Dr. Sarabjit Chadha, Mutungamiriri weProjekiti, The Union - India; Dr. Sai Praveen Haranath, Senior Consultant Pulmonologist, Apollo Health City; Dr Dilip Mathai, Dean, Apollo Institute of Medical sciences & Research; Dr. Lavanya Nutankalva, Consultant Infectious Diseases uye Dr. Suneetha Narreddy, Consultant Infectious Diseases, Apollo Health City, pamusangano wePress Conference musi weChishanu paApollo Health City.

Chirwere cherurindi chiri kuwedzera kufa kwevanhu vanosvika miriyoni nechidimbu gore rega rega, zvikuru munyika dzichiri kusimukira. Zvinoenderana nenhamba dziripo, India chete inoverengera chikamu chimwe muzvina chezviitiko zvitsva zveTB zvinoonekwa pasi rose gore rega rega, India ine 2.2 miriyoni zviitiko zvitsva zve8.6 miriyoni pasi rose. Ichi chirwere chinofambiswa nemhepo chinouraya maIndia angangosvika chiuru zuva rega rega uye nekudaro chinoonekwa sedambudziko guru rehutano muIndia. Chimwe chezvikonzero zviri kuwedzera kukwira kwezviitiko kushaikwa kwekubatanidzwa kwechirongwa cheTB nebazi rakazvimirira rehutano, kunze kwekungoramba vakangwarira, kunyatsoongorora uye kutarisa. Kazhinji varwere vanoshuma kumakiriniki akazvimirira kana zvipatara mushure mekutanga kununurwa kubva kuchirwere vanobuda muradar yekurapa, zvichikonzera kusateedzera kurapwa, uku iri iyo nguva yakakosha yekutevera nekutarisa zvine simba. Varwere vakadai vanopedzisira vaparadzirawo chirwere ichi munharaunda.

Sangano reWorld Health Organisation (WHO) kuburikidza neStop TB Strategy, yanga ichibata vatapi vehutano vakakodzera kuburikidza neruzhinji-yakavanzika uye yeruzhinji-yeruzhinji misanganiswa nzira mukutarisira nekudzora chirwere cherurindi. Sangano repasi rose rinonyatsozivikanwa riri kushanda munhandare iyi - The Union, yakabatana neLilly MDR-TB kudyidzana iri kuita chirongwa chekubatanidza varapi vehutano vakazvimiririra mukuunza masevhisi eTB anoshanda uye emhando yepamusoro muIndia.

Sechikamu chechirongwa ichi Apollo Hospitals iri kushanda mukuvandudza chiziviso chechirwere cherurindi, kutevedzera marapirwo nemigumisiro iri nani, yakabatana neThe Union uye yakatanga webhusaiti - http://www.ahtts.in/Software iyi yakabatana nechirongwa cheNikshay, inobatsira mukuyeuchidza varwere kuburikidza neSMS nguva dzose kuti vatore mishonga, uye zvakare, chishandiso cheIntegrated voice response chinoongorora kutevedzera kurapwa.

"Kusatevedzera mishonga kunowedzera njodzi yechirwere cherurindi chisingauraye zvinodhaka, zvinova zviri kunetsa zvikuru muIndia. Kuzvibata kwega kwega kunovandudza rubatsiro uye kuponesa hupenyu. Haisisiri nyaya yekuti tingapedza TB - chatova kushevedzera kuita chimwe chinhu kubvisa zvachose pasi rose chirwere chinouraya," vanodaro Mai Sangita Reddy. Tiri kuparura chirongwa chekuyedza nhasi uye tichachiendesa kune dzimwe nzvimbo mu

mavhiki anouya. Vakati, TB ine mhinduro, asi isu kusakwanisa kuibata zvinosuwisa. Achitaura nezvekupararira kweTB muIndia, akati, dambudziko rakakura, mhinduro yakasimba asi ruzivo rweveruzhinji rwakaderera uye vakakumbira vezvenhau kuti vashande mukuwedzera mazinga ekuziva. Apollo Hospitals yakazvipira, tichaita chirongwa cheTB chinoshanda. 70 % yevarwere vari kuwira kunze kwechirongwa chekurapa, kupindira kuburikidza nehunyanzvi hwekuita sechikumbiro ichi kunoita kuti vanhu vatevedzere zvirinani. Chikumbiro ichi chichayedzwa uye chakakwana paApollo Hospitals, Jubilee Hills, chisati chaendeswa kune zvimwe zvipatara zveBoka, akadaro.

Dr. Sarabjit Chadha vakati, hafu yevarwere veTB vari kurapwa mubazi rakazvimirira rehutano, kazhinji hapana nzira yekutevera varwere ava. Iyi software inobata zvakakosha zvevarwere vakadaro, inozivisa hurwere hwemurwere. Inosangana nemurwere nguva dzose kuburikidza nezviyeuchidzo zveSMS zvemazuva ese zvekunwa mushonga, kuongorora kutevedzera kurapwa kwake kuburikidza neIVR zuva rega rega rechitatu uye vanachipangamazano vepaApollo Hospital vachataura parunhare uye kushanyira kana zvichidikanwa avo varwere vasiri kuomerera kuprotocol yekurapwa uye kuvapa zano kuti vadzoke pakurapwa. Tichayera chirongwa ichi kune zvimwe zvipatara zvakazvimiririra zvinogona kutevedzera, kana tapedza chirongwa ichi chekuyedza. Vati, kuongororwa kweTB pasina nguva kwave kushanda, zvisinei kuti kugara kwemazuva ano uye kutsvikinyidzana kwevanhu mumaguta kuri kupa mukana wekuti TB ipararire nekukasika, vachiyeuchidza nezvechirevo chekuti 'TB chero kupi TB iri kwese.' Zvakare chiitiko chepamusoro chekuramba zvinodhaka nekuda kwekusvetuka kweprotocol yekurapa ndicho chikonzero chekunetseka. Vati pari zvino tiri kugadzirisa chirongwa chekurapa TB chipfupi chinodaidzwa kuti STREAM (Standardized Treatment) Regimen yekurapa TB, kudzikisa nguva yekurapa kubva pamakore maviri aripo kusvika kumwedzi mipfumbamwe. Takaita pilot ongororo yeizvi kuBangladesh uye parizvino tiri kurapa varwere veTB munyika ina, Vietnam, Mongolia, Ethiopia neSouth Africa, nerejimeni iyi ine 85% yekupora. Isu taizopedzisa miedzo yedu uye toizivisa muIndia muna 2016. Akati, mamwe makambani ari kunze kwenyika akagadzira mishonga yekurapa Multiple drug resistance, iyo haisi kuwanikwa muIndia.

Dr. Sai Praveen Haranath vakati, chero kukosora kusingadzike kwemavhiki maviri kunoda kuongororwa. Vanhu vanogona kubata TB, iyo inogona kuramba yakarara kwenguva yakareba, asi inozoshanda kana immune system isisina simba kana kuti munhu ari pamishonga yekudzvanyirira immune system. Vati, kurasikirwa kwechigadzirwa nekuda kweTB muIndia chete kunofungidzirwa kuva $25 bn.

Dr Dilip Mathai vakati, TB ichirwere chisingaperi, kazhinji varwere vanononoka kuenda kunana chiremba, kuongororwa kuri nyore uye kana munhu akanwa mushonga anokwanisa kurapika mumwedzi mitanhatu pachikamu che98%.

About Apollo Hospitals

Makanga muri muna 1983, apo Dr. Prathap Reddy vakaita nhamburiko yokupayona nekutangisa chipatara chekutanga chemakambani muIndia - Apollo Hospital muChennai. Iye zvino, seAsia yakakura uye yakavimbika boka rekuchengetedza hutano, kuvepo kwayo kunosanganisira 8,488 mibhedha mu51 Zvipatara, 1,586 Pharmacies, 92 Primary Care uye Diagnostic Clinics, 100 Telemedicine zvikamu munyika gumi. Health Inishuwarenzi masevhisi, Global Projects Consultancy, gumi neshanu makoji eNursing uye Hospital Management uye Research Foundation ine tarisiro yepasi rose Clinical Trials, epidemiological studies, stem cell & genetic research uye yekutanga Proton Therapy Center mhiri kweAsia, Africa neAustralia.

Nerukudzo rusingawanzo, Hurumende yeIndia yakapa chitambi chekurangarira mucherechedzo wekupa kwaApollo, yekutanga kusangano rehutano. Apollo Hospitals Chairman, Dr. Prathap C Reddy, akapiwa nemukurumbira wePadma Vibhushan muna 2010. Kwemakore anopfuura 28, Apollo Hospitals Group yakaramba ichinyanya uye yakachengetedza hutungamiri muhutsva hwezvokurapa, pasi rose-class clinical services uye yekucheka-kumucheto teknolojia. Zvipatara zvedu zvinogara zvakaiswa pakati pezvipatara zvakanakisa pasi rose zvemhando yepamusoro mabasa ekurapa nekutsvaga.

Pamusoro peMubatanidzwa

Basa reInternational Union Against Tuberculosis and Lung Disease (The Union) ndere kuunza hunyanzvi, hunyanzvi, mhinduro nerutsigiro rwekugadzirisa matambudziko ehutano muhuwandu hwepasi nepakati. Inotungamirwa muParis, The Union ndiro chete sangano resainzi rekuzvidira repasi rose rine vadyidzani vanopa chikuva chekurwisa TB, HIV, asima, fodya uye chirwere chemapapu.

Yakatangwa muna 1920, The Union nhasi isangano risingabatsiri rine madhipatimendi mashanu esainzi uye mahofisi akati wandei pasi rese; uye mubatanidzwa wepedyo ne3,000 masangano nevanhu. Madhipatimendi ayo esainzi anotarisa kugadzirisa matambudziko makuru ehutano anosanganisira: Tuberculosis, HIV, hutano hwemapapu (kusanganisira Hutano hweMapapu eMwana), Zvirwere zvisingatapuriranwe, uye Kudzora Fodya. Rubatsiro rwehunyanzvi, kutsvagisa, dzidzo uye kurudziro zvinoumba musimboti wezviitiko zveMubatanidzwa uye rutsigiro kune dzinopfuura 170 nyika nezvirongwa pasirese.

Sangano reUnion rinozivikanwa zvikuru nekugadzira nzira yeDOTS (Directly Observed Treatment, Short Course) yekurapa nekudzora chirwere cherurindi. Iyi modhi yeUnion, iyo inokurudzirwa pasi rose uye yakagamuchirwa neWorld Health Organization, yakashandiswa kurapa vanhu vanosvika mamiriyoni makumi matatu nemanomwe pasi rose. Kuti uwane rumwe ruzivo, ndapota onai www.theunion.org.

Nezve Union South-East Asia

Union South-East Asia Hofisi (USEA), inogara muNew Delhi, inoshanda muBangladesh, India, Indonesia nedzimwe nyika mudunhu rese, ichikwevera pane network yevanopa mazano uye kudyidzana kwakasimba nehurumende, masangano akazvimirira, makambani nemasangano ekunze. Yakavambwa muna 2003 seThe Union yekutanga hofisi yedunhu, nhasi inounza ruzivo rwepasirese uye hunyanzvi kubasa rayo pamwe nekugona uye simba kumabasa eThe Union mudunhu rese. USEA ine vashandi vakazvipira vane hunyanzvi hwehunyanzvi hunoratidza kukoshesa kweMubatanidzwa pachirwere cherurindi, HIV, hutano hwemapapu, kudzora fodya, zvirwere zvisingatapurirane netsvagiridzo.

Kubva 2009, USEA yakatarisira Project Axshya, chirongwa chinotsigirwa cheGlobal Fund chakagadzirirwa kusimudzira kuwaniswa kwerubatsiro rweTB nevanhu vanotambura uye vanosarirwa mumatunhu mazana matatu mumatunhu makumi maviri nerimwe eIndia. Zvimwe zvirongwa zvakakosha zvinosanganisira kuedza kudzora fodya kuIndia, Nepal neBangladesh kuburikidza neBloomberg Initiative yekuderedza kushandiswa kwefodya; uye Eli-Lilly akatsigira chirongwa chekuwedzera kudzora TB kuIndia. USEA inorongawo kudzidziswa kuvaka hunyanzvi mukutarisira TB neMDR-TB, tsvakiridzo yekushanda, manejimendi ehurongwa nehumwe hunyanzvi.