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Retooling National TB control programmes (NTPs) with new diagnostics : the NTP perspective

Document type: article
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Abstract: BACKGROUND: A delay is evident between the development of new policies on TB diagnostics and their implementation at country level. The Stop TB Partnership would benefit from information from national TB program (NTP) managers on progress towards implementation of new recommendations as well as the opportunities and challenges encountered in the process. METHODS AND FINDINGS: To solicit information on the introduction of new TB diagnostics at country level, questionnaires were sent out to NTP managers of high-burden TB countries and a subset of managers was interviewed. The results indicate that about 50% of high-burden TB countries are using the TB diagnostic tools newly recommended by the World Health Organization (WHO). Most NTP managers reported that new diagnostics would only be implemented when officially endorsed by the WHO. All countries have plans to adopt newly endorsed diagnostics at reference laboratory level, while approaches to optimize smear microscopy at lower levels of the health service are given less attention. NTP managers reported diverse challenges to the implementation of new diagnostics. CONCLUSIONS: More information on the obstacles and advantages of introducing new diagnostic tools should be provided to NTP managers to ensure the rational adoption of new diagnostics. A single recommendation covering the introduction of a package of diagnostic tools might be preferable to NTP managers and facilitate implementation in high-burden TB countries.
Authors: Kampen, S.C. van , Ramsay, A.R. , Anthony, R.M. , Klatser, P.R.
Category: Research
Serial number: 7
Volume: 5
Journal: PLoS ONE
Keywords: health , disease prevention and control
Language: eng
Organization: KIT - Royal Tropical Institute
Year: 2010
Right: © 2010 van Kampen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Subject: Health and Nutrition
Title: Retooling National TB control programmes (NTPs) with new diagnostics : the NTP perspective