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Public Health Action. 2015 Jun 21;5(2):103-5. doi: 10.5588/pha.15.0008. Epub 2015 May 08.

Declining tuberculosis notification trend associated with strengthened TB and expanded HIV care in Swaziland.

Public health action

S Haumba, T Dlamini, M Calnan, V Ghazaryan, A E Smith-Arthur, P Preko, P Ehrenkranz

Affiliations

  1. University Research Co., LLC, Mbabane, Swaziland.
  2. National Tuberculosis Control Programme, Mbabane, Swaziland.
  3. University Research Co., LLC, Bethesda, MD, USA.
  4. CTS Global, assigned to US Centers for Disease Control and Prevention (CDC), Mbabane, Swaziland.
  5. CDC, Division of Global HIV/AIDS, Mbabane, Swaziland.

PMID: 26400378 PMCID: PMC4487488 DOI: 10.5588/pha.15.0008

Abstract

This retrospective observational review documents the efforts of the Swaziland National Tuberculosis (TB) Control Programme between 2004 and 2014. The objective is to describe the disparity between actual declines in case notification and increases in estimated incidence. The review of policies and practices shows the most influential factors associated with the decrease in TB case notification to be an increase in access to antiretroviral therapy for co-infected TB patients, the general success of TB and human immunodeficiency virus service integration in the country and improvements in implementation of all components of directly observed treatment, active case finding, and rapid diagnosis using new technologies.

Keywords: TB case notification; antiretroviral therapy; new and recurrent TB; smear-negative TB

References

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