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DOTS strategy and community participation: an experience in the Ecuadorian Andes
N Romero-Sandoval1, O Flores-Carrera, M A Molina
1Facultad de Medicina, Pontificia Universidad Católica del Ecuador, Quito, Ecuador. nromeros@puce.edu.ec
Setting:
The Chine community in Angamarca parish, Cotopaxi Province, in the Ecuadorian Andes.
Objective:
To relate the DOTS strategy to the world view of the indigenous community in the diagnosis and treatment of smear-positive pulmonary tuberculosis (TB) patients.
Design:
Cross-sectional study involving all inhabitants of Chine.
Results:
Aspects of the community's world view were considered in the community-based application of DOTS. A cure rate of 100% was attained, with 0% defaulting from treatment.
Conclusion:
The results obtained indicate that involving the world view of the community in the management of tuberculosis has several advantages.
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