Adapting the DOTS Framework for Tuberculosis Control to the Management of Non-Communicable Diseases in Sub-Saharan Africa 英文参考文献.docVIP

Health in Action Adapting the DOTS Framework for Tuberculosis Control to the Management of Non-Communicable Diseases in Sub-Saharan Africa Anthony D. Harries , Andreas Jahn, Rony Zachariah, Donald Enarson * The Challenge of Managing Non- Communicable Diseases in Sub- Saharan Africa Summary Points how many are retained on therapy, or what proportion have died or developed complications. We treat patients with whatever drugs are available, and consider that our mission is accomplished. In summary, unstructured and unmonitored clinical care and little information about morbidity or mortality from NCDs are mostly the norm in sub-Saharan Africa [14]. How do we begin to rectify this unsatisfactory situation? A possible solution arises out of the existing “DOTS” framework for control of TB. ? In sub-Saharan Africa, management standards for NCDs in public health services are poor. In sub-Saharan Africa (SSA), communicable diseases, particularly HIV/AIDS, tuberculosis (TB), and malaria, are still responsible for ? 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. the greatest burden of morbidity and mortality [1]. However, non- communicable diseases (NCDs) are becoming a signi?cant burden [1]. The Global Burden of Disease Study, conducted in 2001, showed that 20% of deaths in SSA were due to NCDs [2], and this burden is predicted to rise to 40% by 2020 [3]. Obesity, hypertension, diabetes mellitus, cardiovascular disease, asthma, ? 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. Funding: The authors received no speci?c funding for this article. chronic obstructive pulmonary disease, epilepsy, and mental illness are some of the important, chronic NCDs that pose signi?can