Strategic analysis of tuberculosis prevention and control actions in Brazil and Ethiopia: one size fits all?

Gisela Cardoso (), Elizabeth Moreira Santos (), Yibeltal Kiflie (), Kifle Woldemichael (), Suzanne Wilson () and Wuleta Lemma ()
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Gisela Cardoso: National School of Public Health, Fiocruz Foundation
Elizabeth Moreira Santos: National School of Public Health, Fiocruz Foundation
Yibeltal Kiflie: Jimma University
Kifle Woldemichael: Jimma University
Suzanne Wilson: Gustavus Adolphus College
Wuleta Lemma: Tulane University

International Journal of Public Health, 2017, vol. 62, issue 2, No 15, 305-315

Abstract: Abstract Objectives 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. Methods 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. Results 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. Conclusions 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.

Keywords: Tuberculosis; Evaluation; Strategic analysis; Brazil; Ethiopia; Literature review (search for similar items in EconPapers)
Date: 2017
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DOI: 10.1007/s00038-016-0934-5

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