PP32 STRENGTHENING PAEDIATRIC TUBERCULOSIS CONTROL AND MANAGEMENT IN A RESOURCE-CONSTRAINED FACILITY

Then Moli Othayamoorthy, Asiah Kassim, Fauziah Ripin @ Mat Nor, Nur Syazwani Zahurin, Faridah Derani, N. Fafwati Faridatul Akmar Mohammad, Shangari Kunaseelan, Tiew Wah Tin, Lee Ching Hai, Noor Faezah Md Hassan, Rosmanizam Mohd Nawi, Norbaiti Ab Salam, Maizatu Akmal Mad Jusoh, Nor Khailawati Sharibudin, Puvaneswari Sivajothy, Norhazirah Mohd Razali, Siti Khatijah Mohamad, Muhammad Nur Awis Azizan,  Shamsul Anuar Kamarudin

Hospital Tunku Azizah Kuala Lumpur, Malaysia

Introduction
TB Control and Management involves communication and documentation by the Treatment Centre, Primary Care and District Public Health Department.  Unfortunately, most healthcare facilities face constraints, particularly in terms of human resources.

Objective
To assess the impact of a structured TB Control Management System in a resource-constrained hospital.

Methodology
A TB Control Management System (Hospital TB Control Committee) was established in 2023 at Hospital Tunku Azizah, instead of a TB Unit. It consists of five sub-committees to address issues related to new cases, follow-up cases, latent TB cases, communication, and administration. Data from 2022 to 2024 were reviewed to evaluate improvements in the documentation, notification timeliness and follow-up.

Results
Notifications of new TB cases (≤7 days) increased from 95% to 99% in 2023 to 98% in 2024. Timely notification and TBIS document usage achieved 100% compliance post-implementation. Follow-up defaulters were recorded for the first time (1% in 2023; 0% in 2024). Data on patient transfers and latent TB infection were also captured, along with DRTB (3 cases per year in both 2023 and 2024). More than 95% of clients, including those from Primary Care and the District Health Department, expressed satisfaction with the committee’s role.

Discussion
In a resource-limited facility, structured monitoring enhances TB administrative management, improving case surveillance. The new system enables direct communication between Primary Care, Public Health and the Hospital without requiring additional hospital resources. This committee maintains a structured database of TB cases, facilitating systematic notifications, comprehensive patient TB records, and consistent follow-up. Such an approach improves TB documentation, supports informed clinical decision-making, and strengthens the overall management of TB in children.

Conclusion
The TB Control Management System in a resource-constrained hospital demonstrates a scalable model that can be adapted to other hospital settings.