Enarson Donald A, Billo Nils E
International Union Against Tuberculosis and Lung Disease, Paris, France.
Bull World Health Organ. 2007 May;85(5):395-8; discussion 399-403. doi: 10.2471/blt.06.035378.
The development of the DOTS Expansion Plan has been a milestone in tuberculosis (TB) control at the global and national levels. Key challenges that remain are overcoming the weakness of a strategy built on case management, sustaining commitment, competing priorities, the threat of HIV, maintaining high quality of care and preventing drug resistance, building human resource capacity, improving diagnosis and fostering operations research. The ability to address these challenges will determine the success or failure of the Global Plan to Stop TB, 2006-2015.
直接观察短程治疗扩展计划的制定是全球和国家层面结核病控制的一个里程碑。仍然存在的主要挑战包括克服基于病例管理的策略的弱点、维持承诺、应对相互竞争的优先事项、艾滋病毒的威胁、保持高质量的护理以及预防耐药性、建设人力资源能力、改善诊断并促进业务研究。应对这些挑战的能力将决定《2006 - 2015年全球遏制结核病计划》的成败。