Online Program

Tuberculosis: Educational Film for Physicians and Family Doctors

Wednesday, November 4, 2015 : 12:05 p.m. - 12:08 p.m.

Kartlos Kankadze, MD, PhD, USAID Strengthening Tubersulosis Control in Ukraine Project, implemented by Chemonics Int., Kyiv, Ukraine
Mariya Dolynska, MD, PhD, USAID Strengthening Tuberculosis Control in Ukraine Project, Kyiv, Ukraine
Viktoriia Gultai, USAID Strengthening Tuberculosis Control in Ukraine project, implemented by Chemonics Int., Kyiv, Ukraine
Yurii Serhienko, Ninepro Video Studio,, Kyiv, Ukraine
In 1995, Ukraine reached the threshold of what is considered a TB epidemic -- 50 cases per 100,000 people. By 2003, the incidence of TB in Ukraine had doubled. The national medical community is moderately involved in TB control, and myths and prejudices about TB are still prevalent among health care providers.

To support the process of health care reform in Ukraine, the film targets physicians and family doctors in the country, and tells a compelling story about crucial issues of TB diagnosis, treatment, and prevention at the primary health care (PHC) level. The film emphasizes the importance and effectiveness of PHC involvement in TB control, and outlines major World Health Organization recommendations on TB interventions at the primary health care level.

The film provides persuasive arguments against such wide-spread in Ukraine myths, as “Only doctors who specialize in TB should treat TB-infected patients”, “Tubersulosis should be treated only in hospitals, outpatient treatment is dangerous”, “An X-ray is the best method of TB diagnostics”, and “Most adults in former Soviet Union have contracted TB, but not everyone gets sick, so I will not get active TB as well”. 

The film presents infographics and video-instructions, lists groups who are at-risk for TB, explains the pathways of TB transmission, provides instructions on TB diagnosis by sputum investigation, and advises on personal and administrative TB infection control.

Real-life story adds a strong emotional background to the film: doctors watch a case when the neglect of routine case detection led to delayed diagnosis and disease transmission to a patient’s baby and her surroundings.

This product effectively complements educational and training materials for PHC providers developed under the Project framework, and helps to more clearly conceptualize the chain of TB transmission and pathogenic features of TB, as well as understand diagnostics, treatment, and infection control measures. The film is shown during training events for health workers hosted by the project, and disseminated through Ukrainian healthcare institutions and medical schools. 

To make the learning process easier, the film is available at the project's YouTube channel as a whole and by the following chapters:

  1. Tuberculosis and Human History
  2. Pathogenesis of Tuberculosis
  3. TB Diagnostics
  4. TB Infection Control 
  5. Treatment of Tuberculosis

Learning Areas:

Clinical medicine applied in public health
Occupational health and safety
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education
Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
Describe pathogenesis of TB Assess clients' risks of having TB Explain crucial issues of TB diagnosis, treatment, and prevention at the primary health care level Demonstrate proper implementation of personal TB infection control measures Describe major WHO recommendations on TB interventions at the primary health care level

Keyword(s): Provision of health care to the public, Occupational health and safety

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: A program manager and medical practitioner with 22 years of experience in health program management and clinical practice in TB, HIV, infectious diseases, and reproductive health in Eastern Europe, including more than 11 years of experience in the design, implementation, and management of multifaceted health programs in low resource settings. Now, Dr.Kankadze works as a COP for the USAID-funded Strengthening Tuberculosis Control in Ukraine project, being implemented by Chemonics International and Project HOPE.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.