Objectives

Evaluate and determine the gaps in the National Tuberculosis Program and Tuberculosis Surveillance System in Jordan.

Methods

A concurrent embedded mixed quantitative/qualitative methods study was conducted to assess the National Tuberculosis Program and Tuberculosis Surveillance System in Jordan. A semi-structured questionnaire was developed based on the Updated CDC Guideline for Evaluating Public Health Surveillance System to collect necessary information from service providers and other stakeholders.

Results

Tuberculosis (TB) is a social disease – and migration, as a social determinant of health, may increase TB-related morbidity and mortality among migrants and the communities in which they live. Across the countries of the Greater Mekong Subregion (GMS), migrants face various barriers to accessing TB detection and treatment services. The Global Fund Strategy 2023–2028 highlights the importance of human rights, gender equality and community engagement, and of addressing the social determinants of TB, through a package of comprehensive and quality TB services.

This issue of the Bulletin features publications focusing on migration data, migration health research priorities, and infectious diseases including tuberculosis and COVID-19.

The audio podcast episode centers on the key findings from an IOM study, conducted in collaboration with FIND and the United States Centers for Disease Control and Prevention (CDC), that evaluated the diagnostic accuracy of three commercially available computer-aided detection systems for detecting tuberculosis.

Background
Tuberculosis knowledge, practices, and perceived stigma and discrimination among patients with tuberculosis are key factors for the management of the disease.

Objectives
The objectives of the study were to assess knowledge, practices, perceived stigma and discrimination, perceived family and health workers support, perceived level of satisfaction with healthcare services, delay in diagnosis/treatment and reasons for delay among patients with tuberculosis in Jordan.

A steady economic growth over the last two decades in Cambodia and the ASEAN region has contributed to an increase in internal and international migration in search of better employment and livelihood opportunities.

The issue of the Bulletin features publications on migration, zoonoses, infectious diseases, non-communicable diseases, mental health, among others.

The audio podcast episode discusses the importance of the inclusion of migrants into policies and actions towards zoonotic disease prevention and control as well as outlines guidance on the integration of migration into health interventions.

Abstract

The burden of tuberculosis (TB) in Jordan is largely unknown due to the paucity of high-quality data, under-reporting, and a lack of good quality vital registration system. This study aimed to assess the characteristics of TB patients in Jordan, determine the TB notification rate and assess the trend of TB notification in Jordan between 2016 and 2020.

The aim of this study was to independently evaluate the diagnostic accuracy of three artificial intelligence (AI)-based computer aided detection (CAD) systems for detecting pulmonary tuberculosis (TB) on global migrants screening chest x-ray (CXR) cases when compared against both microbiological and radiological reference standards (MRS and RadRS, respectively). Retrospective clinical data and CXR images were collected from the International Organization for Migration (IOM) pre-migration health assessment TB screening global database for US-bound migrants.

Objective:
A better understanding of tuberculosis-related knowledge, attitude, practices in the community, and other issues can help in implementing evidence-driven activities to control tuberculosis in Jordan. This study aimed to assess tuberculosis-related knowledge, attitude, and behaviors among refugees, migrants, and general population, and assess their stigmatizing and discrimination attitudes toward tuberculosis patients, social behavior toward tuberculosis, and healthcare-seeking behaviors.