| Programmatic management of multidrug-resistant tuberculosis: models from three countries. | |
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MedLine Citation:
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PMID: 21669029 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Although multidrug-resistant tuberculosis (MDR-TB) is a major global health problem, there is a gap in programmatic treatment implementation.METHODS: This study describes MDR-TB treatment models in three countries-Peru, Russia and Lesotho-using qualitative data collected over a 13-year period.RESULTS: A program analysis is presented for each country focusing on baseline medical care, initial implementation and program evolution. A pattern analysis revealed six overarching themes common to all three programs: 1) importance of baseline assessments, 2) early identification of key collaborators, 3) identification of initial locus of care, 4) minimization of patient-incurred costs, 5) targeted interventions for vulnerable populations and 6) importance of technical assistance and funding. Site commonalities and differences in each of these areas were analyzed.CONCLUSIONS: It is recommended that all programs providing MDR-TB treatment address these six areas during program development and implementation. |
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Authors:
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J Furin; J Bayona; M Becerra; P Farmer; A Golubkov; R Hurtado; J K Joseph; S Keshavjee; O Ponomarenko; M Rich; S Shin |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-6-8 |
Journal Detail:
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Title: The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease Volume: - ISSN: 1815-7920 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-6-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706389 Medline TA: Int J Tuberc Lung Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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