closing the policy-practice gap in the management of child contacts of tuberculosis cases in developing countries关闭policy-practice差距在孩子接触结核病例的管理在发展中国家.pdfVIP

Policy Forum Closing the Policy-Practice Gap in the Management of Child Contacts of Tuberculosis Cases in Developing Countries 1 1 2 3 4,5 Philip C. Hill *, Merrin E. Rutherford , Rick Audas , Reinout van Crevel , Stephen M. Graham 1 Centre for International Health, Department of Preventive and Social Medicine, University of Otago School of Medicine, Dunedin, New Zealand, 2 Department of Preventive and Social Medicine, University of Otago School of Medicine, Dunedin, New Zealand, 3 Department of Medicine, Radboud University Njimegen Medical Centre, Njimegen, The Netherlands, 4 Centre for International Child Health, Department of Paediatrics, University of Melbourne, Melbourne, Australia, 5 International Union Against Tuberculosis and Lung Disease, Paris, France The Policy-Practice Gap Furthermore, attempts to implement the an HNA as a public health framework are Regarding Children in Contact policy have been characterised by low described in Figure 1 [15]. An initial with a Tuberculosis Case attendance for screening, poor adherence situational analysis of current practice is to preventive treatment, and high default- followed by identification of the gaps The prevention, diagnosis, and treatment ing rates [9,11,12]. Specific barriers in between current and ideal practice. This of tuberculosis (TB) in children are of relation to preventive treatment that have is followed by a process whereby options particular importance in developing coun- been identi