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World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.364 - in English: Strategic Approach for the Strengthening of Laboratory Services for Tuberculosis Control 2006-2009

By World Health Organization

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Book Id: WPLBN0000194647
Format Type: PDF eBook
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Reproduction Date: 2005
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Title: World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.364 - in English: Strategic Approach for the Strengthening of Laboratory Services for Tuberculosis Control 2006-2009  
Author: World Health Organization
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Organization, W. H. (n.d.). World Health Organization : Year 2006 ; World Health Organization, Hiv, Aids, Tuberculosis, And Malaria, Tuberculosis, No. 2006.364 - in English. Retrieved from http://hawaiilibrary.net/


Description
Medical Reference Publication

Excerpt
1. Introduction Bacteriology is one of the fundamental aspects of national tuberculosis (TB) control programmes (NTPs) and a key component of the DOTS strategy. However, TB laboratory services are often neglected components of these programmes. Given existing constraints, it will be difficult for many countries to achieve the global targets of 70% detection of infectious cases and 85% cure of these incidents by the year 2005. Although the global success rate under DOTS has reached 82%, the detection rate of the estimated prevalence has increased at a far slower rate (53% in 2004). In order to improve the case-detection rate, a global strategy for the development and strengthening of TB laboratory networks needs to be implemented urgently. In addition to improving sputum smear microscopy, the strategy recognizes the need to upgrade existing laboratory services and to strengthen/build capacity to perform culture and drug susceptibility testing (DST) in areas experiencing a high burden of acid-fast bacilli (AFB) smear-negative TB associated with human immunodeficiency virus (HIV) infection and to support DOTS-Plus projects.

Table of Contents
Contents Acknowledgements v Abbreviations vi 1. Introduction 1 2. Situation analysis 2 2.1 Underestimation of the importance of TB laboratory services 2 2.2 Weak communication between the NTP and the NRL 2 2.3 Limited implementation of quality assurance system, including supervision, for sputum microscopy and culture 3 2.4 Inadequate human resources 3 2.5 Insufficient financial resources 4 2.6 Delay in technology transfer from industralized to resource-limited countries 4 2.7 Problems related to availability and accessibility 5 2.8 Lack of or minimal interaction with private-sector laboratories 5 3. Efforts to strengthen performance of laboratory services 6 3.1 Establishment of the Subgroup on Laboratory Capacity Strengthening 6 3.2 Stop TB Strategy and the Global Plan to Stop TB 6 3.3 Development of the Strategic Approach for the Strengthening of Laboratory Services 6 3.3.1 Objectives 6 3.3.2 Priority countries 7 3.3.3 Targets 7 4. Components of the strategic approach 8 4.1 Standardization of laboratory documents 8 4.1.1 The laboratory assessment tool 8 4.1.2 Training 8 4.1.3 Standard operating procedures 9 4.1.4 Supervision 9 4.2 Assessment of laboratory network and formulation of recommendations in priority countries 9 4.3 Support to countries in planning, training and identification of funding 9 4.3.1 Identifying needs to be included in country plans and incorporated in funding applications 10 4.3.2 Quality assurance 10

 

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