Ambulatory tuberculosis treatment in post-Semashko health care systems needs supportive financing mechanisms

Hdl Handle:
http://hdl.handle.net/10144/337982
Title:
Ambulatory tuberculosis treatment in post-Semashko health care systems needs supportive financing mechanisms
Authors:
Kohler, S; Asadov, D A; Bründer, A; Healy, S; Khamraev, A K; Sergeeva, N; Tinnemann, P
Journal:
The International Journal of Tuberculosis and Lung Disease
Abstract:
The tuberculosis (TB) control strategy in the Republic of Karakalpakstan, Uzbekistan, is being changed to decentralised out-patient care for most TB patients by the Government of Uzbekistan, in collaboration with the international medical humanitarian organisation Médecins Sans Frontières. Ambulatory treatment of both drug-susceptible and drug-resistant TB from the first day of treatment has been recommended since 2011. Out-patient treatment of TB from the beginning of treatment was previously prohibited. However, the current Uzbek health financing system, which evolved from the Soviet Semashko model, offers incentives that work against the adoption of ambulatory TB treatment. Based on the 'Comprehensive TB Care for All' programme implemented in Karakalpakstan, we describe how existing policies for the allocation of health funds complicate the scale-up of ambulatory-based management of TB.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
1-Dec-2014
URI:
http://hdl.handle.net/10144/337982
DOI:
10.5588/ijtld.14.0190
PubMed ID:
25517802
Language:
en
ISSN:
1815-7920
Appears in Collections:
TB

Full metadata record

DC FieldValue Language
dc.contributor.authorKohler, Sen_GB
dc.contributor.authorAsadov, D Aen_GB
dc.contributor.authorBründer, Aen_GB
dc.contributor.authorHealy, Sen_GB
dc.contributor.authorKhamraev, A Ken_GB
dc.contributor.authorSergeeva, Nen_GB
dc.contributor.authorTinnemann, Pen_GB
dc.date.accessioned2015-01-08T17:33:42Z-
dc.date.available2015-01-08T17:33:42Z-
dc.date.issued2014-12-01-
dc.identifier.citationAmbulatory tuberculosis treatment in post-Semashko health care systems needs supportive financing mechanisms. 2014, 18 (12):1390-5 Int. J. Tuberc. Lung Dis.en_GB
dc.identifier.issn1815-7920-
dc.identifier.pmid25517802-
dc.identifier.doi10.5588/ijtld.14.0190-
dc.identifier.urihttp://hdl.handle.net/10144/337982-
dc.description.abstractThe tuberculosis (TB) control strategy in the Republic of Karakalpakstan, Uzbekistan, is being changed to decentralised out-patient care for most TB patients by the Government of Uzbekistan, in collaboration with the international medical humanitarian organisation Médecins Sans Frontières. Ambulatory treatment of both drug-susceptible and drug-resistant TB from the first day of treatment has been recommended since 2011. Out-patient treatment of TB from the beginning of treatment was previously prohibited. However, the current Uzbek health financing system, which evolved from the Soviet Semashko model, offers incentives that work against the adoption of ambulatory TB treatment. Based on the 'Comprehensive TB Care for All' programme implemented in Karakalpakstan, we describe how existing policies for the allocation of health funds complicate the scale-up of ambulatory-based management of TB.en_GB
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_GB
dc.rightsArchived with thanks to The international Journal of Tuberculosis and Lung Disease : The Official Journal of the International Union Against Tuberculosis and Lung Diseaseen_GB
dc.titleAmbulatory tuberculosis treatment in post-Semashko health care systems needs supportive financing mechanismsen
dc.identifier.journalThe International Journal of Tuberculosis and Lung Diseaseen_GB

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