Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB
In this review, we discuss considerations and successful models for providing decentralized diagnosis, treatment, and prevention services for children and adolescents. Key approaches to building decentralized capacity for childhood TB diagnosis in primary care facilities include provider training an...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Pathogens |
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| Online Access: | https://www.mdpi.com/2076-0817/10/12/1568 |
| _version_ | 1797501722504986624 |
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| author | Stella Zawedde-Muyanja Anja Reuter Marco A. Tovar Hamidah Hussain Aime Loando Mboyo Anne K. Detjen Courtney M. Yuen |
| author_facet | Stella Zawedde-Muyanja Anja Reuter Marco A. Tovar Hamidah Hussain Aime Loando Mboyo Anne K. Detjen Courtney M. Yuen |
| author_sort | Stella Zawedde-Muyanja |
| collection | DOAJ |
| description | In this review, we discuss considerations and successful models for providing decentralized diagnosis, treatment, and prevention services for children and adolescents. Key approaches to building decentralized capacity for childhood TB diagnosis in primary care facilities include provider training and increased access to child-focused diagnostic tools and techniques. Treatment of TB disease should be managed close to where patients live; pediatric formulations of both first- and second-line drugs should be widely available; and any hospitalization should be for as brief a period as medically indicated. TB preventive treatment for child and adolescent contacts must be greatly expanded, which will require home visits to identify contacts, building capacity to rule out TB, and adoption of shorter preventive regimens. Decentralization of TB services should involve the private sector, with collaborations outside the TB program in order to reach children and adolescents where they first enter the health care system. The impact of decentralization will be maximized if programs are family-centered and designed around responding to the needs of children and adolescents affected by TB, as well as their families. |
| first_indexed | 2024-03-10T03:22:40Z |
| format | Article |
| id | doaj.art-a11f7e299bb04d489d92bc364d46216d |
| institution | Directory Open Access Journal |
| issn | 2076-0817 |
| language | English |
| last_indexed | 2024-03-10T03:22:40Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathogens |
| spelling | doaj.art-a11f7e299bb04d489d92bc364d46216d2023-11-23T10:00:47ZengMDPI AGPathogens2076-08172021-12-011012156810.3390/pathogens10121568Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TBStella Zawedde-Muyanja0Anja Reuter1Marco A. Tovar2Hamidah Hussain3Aime Loando Mboyo4Anne K. Detjen5Courtney M. Yuen6The Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala P.O. Box 22418, UgandaMédecins Sans Frontières, Cape Town 7784, South AfricaSocios En Salud Sucursal Perú, Lima 15001, PeruInteractive Research and Development Global, Singapore 238884, SingaporeElizabeth Glaser Pediatric AIDS Foundation, Kinshasa B.P. 1002030, Democratic Republic of the CongoUnited Nations Children’s Fund, New York, NY 10017, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USAIn this review, we discuss considerations and successful models for providing decentralized diagnosis, treatment, and prevention services for children and adolescents. Key approaches to building decentralized capacity for childhood TB diagnosis in primary care facilities include provider training and increased access to child-focused diagnostic tools and techniques. Treatment of TB disease should be managed close to where patients live; pediatric formulations of both first- and second-line drugs should be widely available; and any hospitalization should be for as brief a period as medically indicated. TB preventive treatment for child and adolescent contacts must be greatly expanded, which will require home visits to identify contacts, building capacity to rule out TB, and adoption of shorter preventive regimens. Decentralization of TB services should involve the private sector, with collaborations outside the TB program in order to reach children and adolescents where they first enter the health care system. The impact of decentralization will be maximized if programs are family-centered and designed around responding to the needs of children and adolescents affected by TB, as well as their families.https://www.mdpi.com/2076-0817/10/12/1568tuberculosisdecentralizationprimary health carepatient-centered carechildrenadolescents |
| spellingShingle | Stella Zawedde-Muyanja Anja Reuter Marco A. Tovar Hamidah Hussain Aime Loando Mboyo Anne K. Detjen Courtney M. Yuen Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB Pathogens tuberculosis decentralization primary health care patient-centered care children adolescents |
| title | Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB |
| title_full | Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB |
| title_fullStr | Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB |
| title_full_unstemmed | Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB |
| title_short | Provision of Decentralized TB Care Services: A Detect–Treat–Prevent Strategy for Children and Adolescents Affected by TB |
| title_sort | provision of decentralized tb care services a detect treat prevent strategy for children and adolescents affected by tb |
| topic | tuberculosis decentralization primary health care patient-centered care children adolescents |
| url | https://www.mdpi.com/2076-0817/10/12/1568 |
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