Implementing a new strategy to end TB in Vietnam

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Double X is a new strategy to diagnose TB using chest X-rays and GeneXpert, a diagnostic method that detects TB bacteria. Double X will be further scaled up to 25 provinces in December 2020. Sites for implementation will include provincial hospitals (lung hospitals, general hospitals) as well as district health centers and general hospitals.

Ending the TB epidemic in Vietnam will require intensive effort. The USAID SHIFT project’s partnership with the NTP has piloted the comprehensive Double X Strategy in health facilities and communities in 18 districts in seven provinces (Thai Binh, Nghe An, An Giang, Can Tho, Dong Nai, Tay Ninh, and Tien Giang). 

Vietnam ranks 11th among the 30 countries that account for nearly 90 percent of the world’s TB burden. It is also one of the most common communicable diseases in the country. Vietnam has made significant progress in its political commitment to end TB by 2030, with the formation of the Commission to End TB in December 2019.

However, each year, it is estimated that 170,000 people become sick from TB in Vietnam, but only around 100,000 are accounted for in the National TB system, leaving around 50,000 community TB cases undiagnosed, and the remaining 20,000 diagnosed but not reported.