| Autor: |
Huong, N. T., Duong, B. D., Co, N. V., Quy, H. T., Tung, L. B., Bosman, M., Gebhardt, A., Velema, J. P., Broekmans, J. F., Borgdorff, M. W. |
| Přispěvatelé: |
Infectious diseases |
| Jazyk: |
angličtina |
| Rok vydání: |
2005 |
| Zdroj: |
international journal of tuberculosis and lung disease, 9(2), 151-156. International Union Against Tuberculosis and Lung Disease (The Union) |
| ISSN: |
1027-3719 |
| Popis: |
OBJECTIVE: To describe the establishment and development of the National Tuberculosis Control Programme (NTP) of Vietnam. METHODS: Data were obtained from the surveillance system established by the new NTP in 1986 and based on the principles now described as the WHO DOTS strategy. RESULTS: The proportion of districts covered by the NTP increased from 40% in 1986 to almost 100% in 2000. The proportion of communes applying NTP guidelines increased from 18% in 1986 to 99.8% in 2000. The total number of tuberculosis cases notified increased from 8737 in 1986 to 89 792 in 2000. Most of these are new smear-positive cases. Based on WHO estimations of the incidence rate, the proportion of new smear-positive cases detected and put on short-course treatment has been over 70% since 1996. Reported cure rates with short-course chemotherapy are consistently over 85%. CONCLUSIONS: DOTS is feasible in a low-income, high-burden country. The main reasons for success were political commitment, a well-functioning health network, integration of tuberculosis control into the general health service at district level, a continuous supply of drugs and effective external support. Major challenges are long-term financial support, expansion to remote areas and vulnerable groups, definition of the role of the private sector, and future developments of the HIV epidemic and multidrug resistance |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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