Questionnaire section IV: organisational aspects of tuberculosis care and infection control issues
| Number of refugees hosted at the national level during the past 6 months <50 000: 25/36 (69.4%) 50 001–100 000: 2/36 (5.5%) 100 001–250 000: 1/36 (2.7%) >250 000: 7/36 (19.4%) Not answered: 1/36 (2.7%) |
| Organisation(s) responsible for first-line medical care of refugees at the national level National and/or local medical/public health services (including Ministry of Health): 21/36 (58.3%) Medical staff of holding centres: 3/36 (8.3%) Primary healthcare clinics: 3/36 (8.3%) Federal/State Agencies for Refugees: 3/36 (8.3%) Red Cross/international organisations:6/36 (16.6%) Public/private providers: 1/36 (2.7%) |
| Special measures for cross-border care when a refugee is diagnosed active tuberculosis Yes: 17/36 (47.2%) No: 14/36 (38.8%) Not answered: 3/36 (8.3%) Not applicable: 2/36 (5.5%) |
| Priority problems identified at the national level to manage tuberculosis among refugees System in place overloaded by the recent increase of migrants/suboptimal coverage of screening and contact-tracing (high screening numbers, separate registers), organisations/public health services understaffed regarding the workload (delay and difficulties in diagnosis, treatment, care and follow- up/treatment and care/organise cross-border care/low compliance, many lost-to-follow-up under tuberculosis treatment and continuing migration mobility: 22/36 (61.1%) Major barriers to access healthcare services related to cultural, religious, and language differences/lack of knowledge about tuberculosis, lack of information about the healthcare system in the country and cultural constraints/stigmatisation of tuberculosis patients/insufficient patient counselling and motivation: 13/36 (36.1%) Lack of coordination among involved entities: 6/36 (16.6%) Logistical problems: 10/36 (27.7%) |
| Personal protection/infection control measures in place for presumptive active tuberculosis cases Respirators used for staff and surgical masks for individuals with possible tuberculosis or other respiratory disease: 24/36 (66.6%) Only respirator used for staff in contact with refugees: 1/36 (2.7%) Other: 7/36 (19.4%) Not answered: 4/36 (11.1%) |