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Updated: Aug 30, 2026

The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
Tuberculosis control in Samara Oblast, Russia: institutional and regulatory environment
R J Coker1, B Dimitrova, F Drobniewski
1Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London, UK. richard.coker@lshtm.ac.uk
Setting:
Tuberculosis control programme in Samara Oblast, Russia, funded in part by the government of the United Kingdom.
Objective:
To identify and evaluate institutional and regulatory influences as well as incentives and disincentives that might be amenable to change in the promotion of the DOTS strategy.
Design:
Multidisciplinary situational analysis through in-depth interviews of stakeholders and review of official federal and oblast documents.
Results:
Interpretation of traditional notification data is complex because classification and reporting systems differ from World Health Organization principles. Regulations governing financing encourage lengthy hospitalisations and interventions, and provide few incentives to shift policy to ambulatory care.
Conclusion:
Accurate comparability of epidemiological trends and programmatic successes requires equivalent classification and reporting systems. If the DOTS strategy is to be sustainable, changes to financing systems will be needed.
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