South Africa's national tuberculosis control programme, established after the country's 1994 transition to democracy, when the new government faced the task of integrating TB services into a weak primary health care system just as the HIV epidemic began driving TB case rates up roughly fourfold between 1994 and 2012. The programme adopted the World Health Organization's directly observed treatment, short-course strategy nationwide in 1996, though treatment success rates settled around 76 percent, below the World Health Organization's 85 percent target. In 2011 the programme ran a multifaceted screening campaign in high-burden districts combining household contact tracing, HIV counseling and testing, community mobilization and door-to-door case-finding, screening more than 150,000 household contacts and identifying over 3,000 new cases, and in 2012 South Africa adopted a National Strategic Plan setting the goal of zero new TB infections and deaths by 2032, with an interim target of halving 2012-level rates by 2016.
Facts
Measured ResultsTreatment success rate improved to 79 percent for new smear-positive TB patients and 76 percent for smear-negative or extrapulmonary patients 1 Program status (class) Classification
Program Kind Connections
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Sources
1. SciELO SA: Tuberculosis Control in South Africa, Successes, Challenges and Recommendations (2014)
South African Medical Journal, via SciELO SAIntroduction paragraph, NTP history sentence
The National Tuberculosis Programme (NTP), established after SA became a democracy in 1994
Treatment outcomes paragraph
SA's treatment success rate among new smear-positive and smear-negative/extrapulmonary TB patients has improved to 79% and 76%, respectively
Page text
The NTP is currently conducting a national drug resistance survey, the first national TB prevalence survey is planned, and an independent review of the NTP has recently been completed.
Program classification, entity description sentence
In 2011 the programme ran a multifaceted screening campaign in high-burden districts combining household contact tracing, HIV counseling and testing, community mobilization and door-to-door case-finding, screening more than 150,000 household contacts and identifying over 3,000 new cases, and in 2012 South Africa adopted a National Strategic Plan setting the goal of zero new TB infections and deaths by 2032, with an interim target of halving 2012-level rates by 2016.
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