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Are TB control programmes in South Asia ignoring children with disease? A situational analysis

Sadia Shakoor1, Farah Naz Qamar2, Fatima Mir2

  • 1Department of Pathology and Microbiology, Aga Khan University, Karachi, Pakistan Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan.

Archives of Disease in Childhood
|December 7, 2014
PubMed

Insights

Diagnosing pediatric tuberculosis (TB) is challenging, leading to underestimation of cases, especially in South Asia. Improving TB control programs in these high-burden countries is crucial for global efforts.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Pediatrics

Background:

  • Pediatric tuberculosis (TB) presents diagnostic challenges, resulting in underreported incidence.
  • South Asian high-burden countries (SA-HBC) account for a significant proportion of missed TB cases globally.
  • Millennium Development Goals emphasize scaling up pediatric TB detection and management.

Purpose of the Study:

  • To review the current status of TB control programs in SA-HBC.
  • To conduct a SWOT analysis of pediatric TB control in these regions.
  • To identify critical barriers to improving pediatric TB control in SA-HBC.

Main Methods:

  • Review of published statistics on TB control programs in Afghanistan, Pakistan, India, and Bangladesh.
  • Strengths, Weaknesses, Opportunities, and Threats (SWOT) situational analysis.

Main Results:

  • Diagnostic difficulties in pediatric TB are compounded by programmatic and social barriers in SA-HBC.
  • A substantial, unmeasured proportion of missed pediatric TB cases occurs in these countries.
  • Critical issues hindering pediatric TB control in SA-HBC were identified.

Conclusions:

  • There is an urgent need to enhance pediatric TB programs in SA-HBC.
  • Addressing diagnostic, programmatic, and social barriers is essential for effective pediatric TB control.
  • Improved strategies are required to meet global goals for pediatric TB management.

Keywords:
National tuberculosis control programsPediatricSouth AsiaTuberculosishealth systems

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