The NTLP dispensed medicines through the network of government facilities, and also undertakes some partnerships with private providers.
Private partners of the NTLP were widely reported to be adherent to NTLP guidelines.
Private stakeholders were, however, critical of the exclusive nature of NTLP policy deliberations and for seldom involving them in discussions on clinical guidelines, or around policies relating to private sector regulation and partnership (Interviews, managers of private hospitals partnering with NTP, official of association of health facilities).
The NTLP, an arm of the MoH, was officially charged with prevention and care of TB in the country, including dispensation of medicines through their network of health facilities.
Estimates of requirements of TB medicines were made quarterly, based on reports submitted by the NTLP in conjunction with the Pharmaceutical Services Division of the MoH, and the medicines were procured.
The patients overall perception of the services together with the WHO, NTLP, International standards for tuberculosis care (ISTC), and the researchers' own set perception about the quality of services offered were used to judge the overall quality of services offered at the facilities/level of execution of the different indicators.
Most of the TB patients on treatment had a treatment observer checking and ensuring on their daily intake of drugs, the NTLP recommends every patient to have a treatment observer.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Uganda National Tuberculosis and Leprosy Programme (NTLP)/National Tuberculosis Reference Laboratory (NTRL).
Over the last 5 years, NTLP Uganda has recorded 300-500 newly detected leprosy cases annually; about 70% of those cases were in 13 out of 80 districts.
(5) The absence of skills, lack of awareness of the remaining leprosy problems as well as the existing NTLP structures to address them, are important reasons why half of the institutions covered by this study failed to organise leprosy training during the 2 years preceding the study.
Having the biggest stake in ensuring integration, NTLP has to ensure that leprosy continues to be appropriately included in the curricula of all health training institutions.
The NTLP should also organise in-service or refresher training-of-trainers in the various institutions and provide them with appropriate teaching and learning materials.