World Health Organization, Country Office, Islamabad, Pakistan.
East Mediterr Health J. 2010;16 Suppl:S47-53.
Pakistan has shown drastic expansion of tuberculosis (TB) care during the past 10 years, increasing case notifications from 11 050 in 2000 to 248 115 in 2008. Over 1 million TB patients have been cared for since 2000, with a treatment success rate of 91% in 2007. This paper examines the strategic decisions and infrastructure improvements underlying this achievement, such as the implementation of universal DOTS coverage, expansion of the laboratory network, effective drug management systems, improved communication strategies, and inclusion of private practitioners, laboratories and hospitals in the TB control programme through the public-private mix strategy. The paper also outlines challenges faced in further expanding TB control within the private sector and parastatal health care institutions; strengthening the laboratory network for diagnosis of drug-resistant TB; and ensuring uninterrupted supply of quality anti-TB drugs, all requiring continued and coordinated technical and donor support.
在过去的 10 年中，巴基斯坦在结核病（TB）护理方面表现出了巨大的扩展，从 2000 年的 11050 例病例报告增加到 2008 年的 248115 例。自 2000 年以来，已有超过 100 万名结核病患者得到了治疗，2007 年的治疗成功率为 91%。本文探讨了实现这一成就的战略决策和基础设施改进，例如实施普遍直接观察治疗（DOTS）覆盖、扩大实验室网络、有效的药物管理系统、改进沟通策略，以及通过公私混合战略将私人医生、实验室和医院纳入结核病控制规划。本文还概述了在私营部门和准政府医疗机构进一步扩大结核病控制方面面临的挑战；加强耐药结核病诊断的实验室网络；并确保质量抗结核药物的供应不断，所有这些都需要持续和协调的技术和捐助者支持。
