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Retooling national TB control programmes (NTPs) with new diagnostics: the NTP perspective.

Sanne C van Kampen1, Andrew R Ramsay, Richard M Anthony

  • 1UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, Geneva, Switzerland. sanne.vankampen@gmail.com

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About half of high-burden countries use new TB diagnostics, with implementation often tied to WHO endorsement. Challenges exist, and a package approach may aid adoption.

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Area of Science:

  • Public Health
  • Infectious Disease Diagnostics
  • Global Health Policy

Background:

  • Significant delays exist between policy development and implementation of new tuberculosis (TB) diagnostics.
  • National TB Program (NTP) managers' insights are crucial for understanding TB diagnostic implementation progress, opportunities, and challenges.

Purpose of the Study:

  • To gather information from NTP managers regarding the implementation of new TB diagnostic tools in high-burden countries.
  • To identify progress, opportunities, and challenges associated with adopting new TB diagnostic recommendations.

Main Methods:

  • Questionnaires were distributed to NTP managers in high-burden TB countries.
  • A subset of NTP managers was interviewed to gather detailed information.

Main Results:

  • Approximately 50% of high-burden TB countries are utilizing WHO-recommended TB diagnostic tools.
  • Implementation of new diagnostics is largely contingent upon official World Health Organization (WHO) endorsement.
  • While adoption at reference laboratory level is planned, optimizing smear microscopy at lower service levels receives less focus.
  • NTP managers reported various challenges hindering the implementation of new diagnostic tools.

Conclusions:

  • Providing NTP managers with comprehensive information on obstacles and benefits is essential for rational adoption of new diagnostics.
  • A unified recommendation for a package of diagnostic tools may streamline implementation in high-burden TB countries.