Evaluation Laboratory (LASER), Department of Endemics, National School of Public Health, Fiocruz Foundation, Rua Leopoldo Bulhões, 1480/612, Manguinhos, Rio De Janeiro, RJ, CEP 21.041-210, Brazil.
Department of Health Systems Management, College of Public Health and Medical Sciences, Jimma University, Ginjo Kebele, Jimma, Ethiopia.
Int J Public Health. 2017 Mar;62(2):305-315. doi: 10.1007/s00038-016-0934-5. Epub 2016 Dec 18.
This study aimed at conducting a strategic analysis of Tuberculosis prevention and control actions in Brazil and Ethiopia, looking at the potential of directly observed treatment short-course strategy (DOTS) and community DOTS in both countries.
Literature review was conducted using PubMed, Medline-Ovid, EMBASE, and SCIELO databases. The reviewed terms were Tuberculosis, prevention and control and Brazil (or Brasil) or Ethiopia (or Etiopia). Study's eligibility included article's title or abstract in English or Portuguese and comprised the following Tuberculosis policy components: management; care; communication, and social mobilization; training and professional development; epidemiological surveillance, and monitoring and evaluation. The study identified, compared, and analyzed the challenges and recommendations reported in the literature.
Although DOTS was not able to address all the difficulties regarding Tuberculosis control and prevention, it contributes to overcome challenges identified in the literature review. Decentralizing DOTS in Ethiopia and implementing DOTS in Brazil were key recommendations to overcome problems of access and treatment default.
DOTS and Community DOTS cannot solve every identified Tuberculosis challenge, but together they complement each other. Both strategies need to be tailored to site's challenges.
本研究旨在对巴西和埃塞俄比亚的结核病防控行动进行战略分析，探讨直接观察治疗短程方案（DOTS）和社区 DOTS 在这两个国家的潜力。
使用 PubMed、Medline-Ovid、EMBASE 和 SCIELO 数据库进行文献回顾。检索词为结核病、预防和控制以及巴西（Brasil）或埃塞俄比亚（Etiopia）。符合条件的研究包括英文或葡萄牙文的文章标题或摘要，包含以下结核病政策组成部分：管理；护理；沟通和社会动员；培训和专业发展；流行病学监测以及监测和评估。本研究对文献中报道的挑战和建议进行了识别、比较和分析。
尽管 DOTS 无法解决结核病控制和预防方面的所有困难，但它有助于克服文献综述中发现的挑战。在埃塞俄比亚去中心化 DOTS 和在巴西实施 DOTS 是克服获得治疗和治疗中断问题的关键建议。
DOTS 和社区 DOTS 不能解决每个已确定的结核病挑战，但它们相辅相成。这两种策略都需要根据现场的挑战进行调整。
