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FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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122 Tigray RHB; T.M.A.; IISMAN onlus; Italian Cooperation - HSDP6. Collaborate with the local health authority officer in contact tracing andevaluating the risk to Dermatological and STIs infections transmission inthat particular workplace.In some cases a range of measures will be recommended, including directlyobserved treatments (DOT).The DOT promote adherence and treatment. Other measures include placingthe patient at the centre of the control activities; ensuring confidentiality andconsideration of patients’ needs; organizing the socio-sanitary services so thatthe patient can receive treatment as close as possible to his/her home, or in theworkplace; considering incentives; identifying potential problems in advance;keeping accurate address records; and taking action towards defaulters.Directly observed treatment is a key part of promoting adherence to treatment.It helps to prevent inconsistent, partial, or incorrect treatment, therebyincreasing the likelihood of successful treatment outcome and reducingthe risk of the emergence of drug resistance. It involves direct observation ofthe patients while taking their drugs every day during the initial phase of thetreatment.The system of recording and reporting results under the DOT strategy hasthree essential components:• registering all patients with a new diagnosis of Dermatological and STIsinfections;• recording their standard treatment outcome;• reporting of results to the local health authority office.Early Diagnosis and PreventionAfter the training courses have been conducted there will be the need to carryout monitoring and supervision of the performance of the Health Workersin the facilities where they work. This will also give the opportunity to organizewith them a series of sensitization campaigns at village level in order to promoteearly diagnosis and prevention of many common skin diseases and STI.Expected outcomesThrough the above areas of intervention an attempt to improve the healthstatus of the people of the Tigray region will be ascertained.The implementation capacity of the health system and health personnel ofthe region will be improved.People will have access to new services like dermatology, and prevention ofthe commonest communicable diseases.

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