Martins N, Heldal E, Sarmento J, Araujo R M, Rolandsen E B, Kelly P M
Menzies School of Health Research, Darwin, Northern Territory, Australia.
Int J Tuberc Lung Dis. 2006 Sep;10(9):975-81.
East Timor has undergone major political changes in the past 10 years. Tuberculosis (TB) control has flourished, despite chronic low tension conflict, a brief but intense period of high-level conflict and post-conflict reconstruction.
To assess TB control in East Timor from 1996 to 2004.
Data were collected from a variety of sources. Key TB programme indicators were analysed with reference to WHO targets to assess the performance of the three TB control programmes that operated during the study period.
Before 1999, a non-governmental TB control programme was established in several districts in parallel with the government TB programme, and showed optimistic results. External donor funds, technical assistance and local control strategies were key components. In 1999, conflict led to complete disruption of both programmes. In 2000, a National Tuberculosis Control Programme (NTP) was established from the non-governmental programme in collaboration with other partners. The smear-positive TB case notification rate of 108 per 100000 population is the highest in the region and reflects high population coverage. The cure rate of 81% is close to reaching the WHO target.
High-quality TB control has been introduced in conflict-affected East Timor. Further research is needed to examine Timorese approaches to inform other, similar settings.
东帝汶在过去十年经历了重大政治变革。尽管存在长期的低强度冲突、一段短暂但激烈的高强度冲突以及冲突后重建，但结核病控制工作仍蓬勃发展。
评估1996年至2004年东帝汶的结核病控制情况。
数据从多种来源收集。参照世界卫生组织的目标，对关键的结核病规划指标进行分析，以评估研究期间运行的三个结核病控制规划的绩效。
1999年之前，一个非政府结核病控制规划与政府结核病规划并行在几个地区设立，并取得了乐观的成果。外部捐助资金、技术援助和地方控制策略是关键组成部分。1999年，冲突导致两个规划完全中断。2000年，在其他伙伴的协作下，基于非政府规划设立了国家结核病控制规划（NTP）。每10万人口中涂片阳性结核病病例报告率为108例，是该地区最高的，反映了高人口覆盖率。治愈率为81%，接近达到世界卫生组织的目标。
在受冲突影响的东帝汶已引入高质量的结核病控制。需要进一步开展研究，以审视东帝汶的方法，为其他类似情况提供参考。
