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What lessons can de drawn from tuberculosis (TB) Control in China in the 1990s? An analysis from a health system perspective

Tang, Shenglan and Squire, Bertie ORCID: https://orcid.org/0000-0001-7173-9038 (2005) 'What lessons can de drawn from tuberculosis (TB) Control in China in the 1990s? An analysis from a health system perspective'. Health Policy, Vol 72, Issue 1, pp. 93-104.

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Abstract

China has made a significant achievement in tackling the TB epidemic over the last decade, due largely to the implementation of directly-observed treatment strategy (DOT). The cure rate of TB cases reached more than 90% for registered TB patients. However, the case detection rate has, unfortunately, been very low (some 30%). Using available information, this paper identifies four main problems facing TB control in China, these are, low case finding, a substantial proportion of TB patients failing to complete standardised treatment, increased proportion of MDR TB patients, and lack of effective TB control among "floating populations". The paper also analyses the possible causes of these problems associated with socio-economic barriers in care seeking, ineffectiveness of TB services, particularly in poor areas, lack of co-operation between health facilities, and weakness of political and financial commitments of local governments to TB control. The paper ends with the discussion of opportunities and challenges facing TB control and makes recommendations for further actions and research. (c) 2004 Elsevier Ireland Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: tb control health system china reform
Subjects: WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > WA 20.5 Research (General)
WA Public Health > Preventive Medicine > WA 243 Diagnositic services
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Administration and Organization > WA 525 General works
WF Respiratory System > Tuberculosis > WF 220 Diagnosis. Prognosis
WF Respiratory System > Tuberculosis > WF 300 Pulmonary tuberculosis
Digital Object Identifer (DOI): https://doi.org/10.1016/j.healthpol.2004.06.009
Depositing User: Martin Chapman
Date Deposited: 04 Oct 2011 17:27
Last Modified: 23 Feb 2018 09:21
URI: https://archive.lstmed.ac.uk/id/eprint/1891

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