Multi-Sectoral Approach to DOTS?The Only Hope

This article reviews both the global and Kenyan tuberculosis (TB) situations and gives a manager's perspective of the management of a national TB control program with limited resources. It demonstrates how complex it can be to manage a control program with a 500% increase in case load and a 60%...

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Bibliographic Details
Published in:Scandinavian journal of infectious diseases 2001, Vol.33 (10), p.725-727
Main Author: Kibuga, Daniel
Format: Article
Language:English
Subjects:
AIDS-Related Opportunistic Infections - epidemiology
Antitubercular Agents - therapeutic use
Bacterial diseases
Biological and medical sciences
Developing Countries - statistics & numerical data
Forecasting
Health Surveys
Human bacterial diseases
Humans
Infectious diseases
Kenya - epidemiology
Medical sciences
Mycobacterium tuberculosis
Transients and Migrants
Tropical medicine
Tuberculin Test - methods
Tuberculosis - drug therapy
Tuberculosis - epidemiology
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Multidrug-Resistant - epidemiology
World Health Organization
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Summary:This article reviews both the global and Kenyan tuberculosis (TB) situations and gives a manager's perspective of the management of a national TB control program with limited resources. It demonstrates how complex it can be to manage a control program with a 500% increase in case load and a 60% decline in real per capita health expenditure during the last 20 y. The picture is complicated even further by a high prevalence of TB among the country's nomadic population inhabiting the arid and semi-arid parts of the country. Acceptable treatment results are achieved through a combination of appropriate strategies. However, the future picture is grim unless more personnel are used to implement the DOTS strategy.
ISSN:0036-5548
1651-1980
DOI:10.1080/003655401317074482