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Tuberculosis control programme in Tunisia: Efficacy assessment


Cahiers d'études et de recherches francophones / Santé . Volume 20, Number 2, 87-92, avril-mai-juin 2010, Étude originale

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Author(s) : Mohamed Kouni Chahed, Hédia Bellali, Sassia Dhouibi, Nissaf Ben Alaya, Béchir Zouari

Summary : The aim of this study was to assess the efficacy of the national Tuberculosis Control Programme in Tunisia, by applying the 8-stage model proposed by Piot (1967). Two retrospective cohorts of tuberculosis cases, including all new smear-positive cases detected by all laboratories in the study area during the study period, were selected at least 2 years after treatment began. The real number of new active cases during the study period was estimated at 142, the case detection rate at 61%. In all, 70% of patients started tuberculosis treatment, and regular use of the home treatment varied from 87% (including irregular use) to 71% (excluding irregular use). The low global efficacy of the program, which ranged from 26 to 31%, indicates the need for improved application of the strategy by programme managers.

Keywords : tuberculosis, tuberculosis control programme, Tunisia

 

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