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Creating a Model MDR-TB Case Management System, Kazakhstan

Multiple Drug-Resistant Tuberculosis (MDR-TB) arises when TB is improperly managed with incorrect treatment regimens or under inappropriate program conditions, a common situation in the former Soviet Union. Primary transmission of drug-resistant strains may subsequently occur.

The pilot project sought to develop optimal protocols for diagnosing, treating, and managing MDR-TB patients in government facilities in Almaty City. An additional component evaluated patient education as an adjunct to treatment adherence.

Principal Investigator: 

Michael E. Kimerling, MD, MPH (University of Alabama at Birmingham)

Co-Investigators:

  • Vytautas Jurkuvenas, PhD (Technical Advisor)
  • R. Adilbekova (Project Manager)
  • G. Rakhishev, MD, PhD (National Center for TB Problems, NCTP)
  • S. Ismailov, MD, PhD (MDR-TB Department, NCTP)
  • N. Mukushev, MD, PhD (Almaty TB Dispensary, ATBD)
  • R. Duisenova, MD (ATBD) 
  • G. Bulanbajeva, MD (ATBD Laboratory)
  • K. Moldakhmetova, MD (Department of Organization and Planning, ATBD)

Final Report (PDF Format)

Publications:

Jurkuvenas V, Balandin A, Rakishev G, Mukushev N, Duisenova R, Ismailov S, Berikova E, Usembayeva S, Moldakhmetova K, Kimerling M.  The multi-drug resistant tuberculosis (MDR-TB) problem in Almaty city and Kazakhstan. Inter J Tuberc Lung Dis. 2004;8(11):S85.