Chang-Hua TB Care Association
TaiwanPresented by
WeiWei-Wen Chen(Sally)Chih Yun, Lin (Vicky)
Fu Jen Catholic University, New Taipei City, Taiwan
Department of Life Sciences 20012001-2005
 ChangChang-Hua TB Care Association
Supervisor 2012 -present
 ChangChang-Hua Hospital, Ministry of Health and Welfare,
ChangChang-hua, Taiwan 20082008-presentWei-Wen, Chen (Sally)
Griffith University, Queensland, Australia
Master of Gerontology Nursing 20032003-2005
 ChangChang-Hua TB Care Association
Member 2014 -present
 ChangChang-Hua Hospital, Ministry of Health andWelfare, Changhua, TaiwanSecretary and research assistant, MDR TB
Department 2014 - presentGeographic Position

你好 =こんにちは==HelloGeographic Position• Capital: Taipei•The total area ofTaiwan :36,193 km2(13,974 sq mi)• Population: 23 million

Geographic Position
Chang-Hua county
Area: 1,074 km²
Population: 1.3 millions

HistoryThe first non-governmental and non-profit making voluntaryorganization established in Chang-Hua County in March 2009by Dr. YiYi-Wen Huang (MD, Chief of Pulmonary and Critical
Care Unit, Chang-Hua Hospital, Deputy commander of Central
region communicable Disease Control Medical Network) witha view to raising public awareness against Tuberculosis (TB)
and adopting preventive and curative measures towards thecontrol of the diseases.

The First Director 2009-2014
Name: YiYi-Wen, Huang MD, Kaohsiung Medical University 1975-1982
 Deputy commander of central region communicable control
medical network, CDC, Ministry and welfare since 2013-now
 Chief of Pulmonary and Critical Care Unit, Chang-Hua Hospital
since 2010~now Chief of Emergency Department, Chang-Hua Hospital since2008~now Chief of Tuberculosis Department, Chang-Hua Hospital since
2007~now
 Chief of Central Region MDR-TB team, since 2004~nowFirst meeting in 2009

Present Director 2015~
Name:: PeiPei-Chun, Kuo
 RN, Master of Health Care Administration,Central Taiwan University of Science andTechnology
 Clinical Registered nurse since 1997
 Supervisor of Nursing Department , Chang-Hua
Hospital since 2012~nowMembership
We pursue our mission in part through an open
membership policy, any individual involved andinterested in the objectives of the Association may
apply for membership The Executive Committee shall decide as to theacceptance or not of any application and similarly
decide into which category the applicant shall beplaced.
Membership
For individuals: more than 20 years old andworking in health care settings at Chang-Huacounty or people living in Chang-Hua county
 For organizations: any associations or groups
who agree objectives of the Association
 For sponsorships : people or groups whoagree objectives of the Association
Membership
76 members
 Clinical staffs from hospital setting 、
community setting and DOTS.
 TB cases who completed treatmentsAim/Purpose
Support disadvantage and special groups tocomplete TB treatment thus reduce thechance to progress to MDR-TB
 We are a collaborative network of policy
makers, health workers, researchers, people
affected by TB and advocates.
TB epidemics in Taiwan

TB Incidence by County, 1990-2013

New Taipei City
Taipei City
Keelung City
Taoyuan County
Hsinchu County
Hsinchu City
Yilan County
Miaoli City

(per 105)

Taichung City
Changhua County
Nantou County

Hualien County

Yunlin County
Chiayi County
Chiayi City
Tainan City

Taitung County

Kaohsiung City

Pingtung County15

TB Case Number and Incidence, 20052005-2013

cases perpopulationcase numbernew caseage-adjusted incidence
incidence

105The case number and age-adjusted incidence in 2013 declined with a rate of 30.0% and43.4% compared with 2005.
16

TB incidence rate in Chang-Hua2009 -2014
80
70
60
50
40
30
20
100
Chang-Hua
TW

2009

2010

2011

2012

2013

2014

67.6
57.8

61.4
57.2

59.8
54.5

58.7
53

53.93
49.4

53.96
47.36

Mission

Assist with disadvantage and special groups(eg.
homeless, HIV, drug abused, psychiatrics, alcoholics, people living
alone) who has suffering with TB (MDR & pre XDRTB) : improve their lives through financial support,education, and encouragement.

MissionHome visits by clinical staff or volunteers
 Strengthening clinical education for clinical
TB staffMission
Fundraising for patients who is at low
economical status or unqualified to retrieve
governmental support, increase patients’motivations and adherence to completetreatment.
 The undertaking of the Research andInvestigation on subjects concerning
tuberculosis.
 Import & monitor new TB drugActivities
Regular medical allowance or food subsidies
 Provide toiletries for homeless casesFundraisingChallengesChang-Hua county is mainly rely on urban
agricultures- Lack of TB information and knowledge- Unable to recognized TB symptoms- TB = Sin
 Delay hospitalization
 Short of funding