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Tuberculosis

TB is a major problem of public health in South Sudan. According to the WHO estimates for the year 2014: i) the prevalence of TB was 319 cases per 100,000 population, ii) 17,000 people were newly affected with TB, indicating an incidence of 146 new TB cases per 100,000 population and iii) 3,400 persons died of TB which resulted in a mortality rate of 29 deaths from TB per 100,000 population.   
The information system of the National TB Programme (NTP) indicates that TB notification has increased from 2,955 cases in 2008 to 8,856 in 2014. The information system of NTP reported that among smear-positive pulmonary TB cases notified in 2014:

  • 65% are males, which indicates a sex-ratio of 2 males for 1 female;
  • One third of them belongs to the age group 25-34 years in both gender groups;
  • 85% are aged less than 45 years in both gender groups.

 Among the total number of smear-positive pulmonary TB patients notified, two thirds were identified in 4 of the 10 states, namely: Central Equator State (38%), Warrap State (12%), Northern Bahr El Ghazal State (11%) and Upper Nile State (5%).
The incidence of notified smear-positive pulmonary TB cases was 37 per 100,000 populations at national level in 2014. This notified incidence was significantly higher in males than in females in all the age groups except for those aged less than 15 years or more than 64 years.

Achievement 2015

  • 3279 of all TB cases detected and put on treatment
  • 1758 of smear positive detected
  • 350 of national staff benefitted from capacity building
  • 201997 of people benefitted from health education on TB

TB/HIV

HIV is the main reason for failure to meet Tuberculosis (TB) control targets in high HIV settings. TB is a major cause of death among people living with HIV. Sub-Saharan Africa bears the brunt of the HIV fuelled TB epidemic.
The rapidly increasing HIV epidemic in other parts of the world could also increase the number of HIV-related TB cases. In order to control TB in high HIV settings, the Stop TB strategy includes collaborative TB/HIV activities.

These collaborative TB/HIV activities have the objectives of creating the mechanism of collaboration between TB and HIV/AIDS programmes, reducing the burden of TB among people living with HIV and reducing the burden of HIV among TB patients.