Institute of Tropical Medicine Antwerp
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Strong general health care systems: a prerequisite to reach global tuberculosis control targets

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Show simple item record Mahendradhata, Y. en_US Lambert, M. L. en_US Van Deun, A. en_US Matthys, F. en_US Boelaert, M. en_US Van der Stuyft, P. en_US 2007-12-06T14:43:08Z 2007-12-06T14:43:08Z 2003 en_US
dc.identifier.issn 0749-6753 en_US
dc.identifier.doi en_US
dc.identifier.other ITG-H1B en_US
dc.identifier.other ITG-H2A en_US
dc.identifier.other ITG-M3A en_US
dc.identifier.other ITG-H4A en_US
dc.identifier.other ITG-H5A en_US
dc.identifier.other ITG-HLA en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-EPID en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-MYCOB en_US
dc.identifier.other JIF en_US
dc.identifier.other MULTI en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTC
dc.description.abstract We argue that tuberculosis control cannot reach its proposed global targets without investment in an adequate network of accessible, effective and comprehensive health services. Lessons from the past are reviewed. They underscore that passive case-detection and adequate case management is the central technical strategy for tuberculosis control. There is no compelling evidence to support active case-detection in the general population. We elaborate on why a strong health care system is a prerequisite in the framework of case-detection and treatment. The necessity to improve quality and accessibility of general health services for ensuring early detection and subsequent cure is demonstrated. It is argued why the need for strong public health care system becomes even more eminent in the light of the tuberculosis/HIV dual epidemics and of the rapid growth of unregulated private-for-profit services. We finally examine the financial gaps for tuberculosis control and discuss the need for allocating more resources to the strengthening of general health care systems. en_US
dc.language English en_US
dc.subject Bacterial diseases en_US
dc.subject Tuberculosis en_US
dc.subject Control strategies en_US
dc.subject Case detection en_US
dc.subject Case management en_US
dc.subject Integration en_US
dc.subject Health systems en_US
dc.subject Private health care en_US
dc.subject Health care financing en_US
dc.subject Resource allocation en_US
dc.title Strong general health care systems: a prerequisite to reach global tuberculosis control targets en_US
dc.type Article en_US
dc.citation.issue Suppl.1 en_US
dc.citation.jtitle International Journal of Health Planning and Management en_US
dc.citation.volume 18 en_US
dc.citation.pages S53-S65 en_US
dc.citation.jabbreviation Int J Health Plann Manag en_US

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