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Adapting the DOTS Framework for Tuberculosis Control to the Management of Non-Communicable Diseases in Sub-Saharan Africa

By Yue Guan | 25 Feb, 2011

Summary Points

* In sub-Saharan Africa, management standards for NCDs in public health services are poor.
* With the growing burden of NCDs, now is the time to develop and implement standardised NCD management protocols and systems for diagnosis, treatment, monitoring, and reporting.
* DOTS has been the framework for tuberculosis control for over a decade, allowing structured and well-monitored services to be delivered to millions of tuberculosis patients in some of the poorest countries of the world.
* The DOTS model has been successfully adapted for the scale-up of ART in Malawi, allowing long-term, structured treatment to be given to thousands of patients.
* This paper discusses why the DOTS paradigm should be adapted for NCDs, and, with the “DOTS five-point policy package” as a template, shows how this could be implemented and rolled out in resource-poor countries, with special reference to sub-Saharan Africa.

Attached resource:
  • Adapting the DOTS Framework for Tuberculosis Control to the Management of Non-Communicable Diseases in Sub-Saharan Africa (external URL)

    Link leads to: http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050124

    Summary: Summary Points

    * In sub-Saharan Africa, management standards for NCDs in public health services are poor.
    * With the growing burden of NCDs, now is the time to develop and implement standardised NCD management protocols and systems for diagnosis, treatment, monitoring, and reporting.
    * DOTS has been the framework for tuberculosis control for over a decade, allowing structured and well-monitored services to be delivered to millions of tuberculosis patients in some of the poorest countries of the world.
    * The DOTS model has been successfully adapted for the scale-up of ART in Malawi, allowing long-term, structured treatment to be given to thousands of patients.
    * This paper discusses why the DOTS paradigm should be adapted for NCDs, and, with the “DOTS five-point policy package” as a template, shows how this could be implemented and rolled out in resource-poor countries, with special reference to sub-Saharan Africa.

    Source: PLoS Medicine

    Publication Date: June 10, 2008

    Language: English

    Keywords: dots, NCDs, Publications & Research

 

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.