Gisela Cardoso1, Elizabeth Moreira Dos Santos2, Yibeltal Kiflie3, Kifle Woldemichael4, Suzanne Wilson5, Wuleta Lemma6. 1. Evaluation Laboratory (LASER), Department of Endemics, National School of Public Health, Fiocruz Foundation, Rua Leopoldo Bulhões, 1480/612, Manguinhos, Rio De Janeiro, RJ, CEP 21.041-210, Brazil. giselacardoso@ensp.fiocruz.br. 2. Evaluation Laboratory (LASER), Department of Endemics, National School of Public Health, Fiocruz Foundation, Rua Leopoldo Bulhões, 1480/612, Manguinhos, Rio De Janeiro, RJ, CEP 21.041-210, Brazil. 3. Department of Health Systems Management, College of Public Health and Medical Sciences, Jimma University, Ginjo Kebele, Jimma, Ethiopia. 4. Department of Epidemiology, College of Public Health and Medical Sciences, Jimma University, Ginjo Kebele, Jimma, Ethiopia. 5. Department of Sociology and Anthropology, Gustavus Adolphus College, 800 College Avenue, St. Peter, MN, 56082, USA. 6. Department of Global Community Health and Behavioral Science, Center for Global Health Equity, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Ste. 1191, TB 46, New Orleans, LA, 7012-2737, USA.
Abstract
OBJECTIVES: This study aimed at conducting a strategic analysis of Tuberculosis prevention and control actions in Brazil and Ethiopia, looking at the potential of directly observed treatment short-course strategy (DOTS) and community DOTS in both countries. METHODS: Literature review was conducted using PubMed, Medline-Ovid, EMBASE, and SCIELO databases. The reviewed terms were Tuberculosis, prevention and control and Brazil (or Brasil) or Ethiopia (or Etiopia). Study's eligibility included article's title or abstract in English or Portuguese and comprised the following Tuberculosis policy components: management; care; communication, and social mobilization; training and professional development; epidemiological surveillance, and monitoring and evaluation. The study identified, compared, and analyzed the challenges and recommendations reported in the literature. RESULTS: Although DOTS was not able to address all the difficulties regarding Tuberculosis control and prevention, it contributes to overcome challenges identified in the literature review. Decentralizing DOTS in Ethiopia and implementing DOTS in Brazil were key recommendations to overcome problems of access and treatment default. CONCLUSIONS: DOTS and Community DOTS cannot solve every identified Tuberculosis challenge, but together they complement each other. Both strategies need to be tailored to site's challenges.
OBJECTIVES: This study aimed at conducting a strategic analysis of Tuberculosis prevention and control actions in Brazil and Ethiopia, looking at the potential of directly observed treatment short-course strategy (DOTS) and community DOTS in both countries. METHODS: Literature review was conducted using PubMed, Medline-Ovid, EMBASE, and SCIELO databases. The reviewed terms were Tuberculosis, prevention and control and Brazil (or Brasil) or Ethiopia (or Etiopia). Study's eligibility included article's title or abstract in English or Portuguese and comprised the following Tuberculosis policy components: management; care; communication, and social mobilization; training and professional development; epidemiological surveillance, and monitoring and evaluation. The study identified, compared, and analyzed the challenges and recommendations reported in the literature. RESULTS: Although DOTS was not able to address all the difficulties regarding Tuberculosis control and prevention, it contributes to overcome challenges identified in the literature review. Decentralizing DOTS in Ethiopia and implementing DOTS in Brazil were key recommendations to overcome problems of access and treatment default. CONCLUSIONS: DOTS and Community DOTS cannot solve every identified Tuberculosis challenge, but together they complement each other. Both strategies need to be tailored to site's challenges.
Entities:
Keywords:
Brazil; Ethiopia; Evaluation; Literature review; Strategic analysis; Tuberculosis
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