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[DOTS strategy and its application in Russia].

A G Khomenko

    Problemy Tuberkuleza
    |April 13, 1999
    PubMed
    Summary

    The Directly Observed Treatment, Short-course (DOTS) strategy in Russia faces challenges despite its introduction in 1994. Analysis reveals both positive aspects and reasons for its limited effectiveness in the Russian Federation.

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    Area of Science:

    • Public Health
    • Infectious Disease Control
    • Global Health Initiatives

    Background:

    • The Directly Observed Treatment, Short-course (DOTS) strategy, a key global tuberculosis control program, was implemented in Russia starting in 1994.
    • Initial implementation focused on specific regions like Ivanovo, Tomsk, and Mary El Republic, with recent expansion to Leningrad and Arkhangelsk Regions.
    • Understanding the effectiveness and challenges of DOTS in the Russian context is crucial for optimizing national tuberculosis control efforts.

    Purpose of the Study:

    • To outline the leading principles of the DOTS strategy as applied in the Russian Federation.
    • To present the methods used for detecting bacillary patients and the chemotherapy regimens for various tuberculosis cases.
    • To analyze the positive outcomes and identify the factors contributing to the insufficient benefits of the DOTS program within Russia.

    Main Methods:

    • Description of the core components and guiding principles of the DOTS strategy.
    • Presentation of diagnostic methods for identifying infectious tuberculosis patients.
    • Detailing of chemotherapy schemes and follow-up protocols, including bacteriological and radiological assessments.

    Main Results:

    • The study outlines the established DOTS strategy principles implemented in Russia since 1994.
    • Methods for patient detection, chemotherapy, and follow-up control are presented.
    • An analysis highlights both the advantages of the program and the reasons for its limited success in the Russian Federation.

    Conclusions:

    • The DOTS strategy in Russia, while based on sound principles, has encountered obstacles to its full effectiveness.
    • Specific challenges within the Russian Federation hinder the program's optimal benefit.
    • Further analysis and adaptation are needed to improve tuberculosis control outcomes through DOTS in Russia.

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