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Integration of TB into child health policies in Africa's high-burden countries: a normative analysis

J Ehrlich1, A L Garcia-Basteiro1,2, A Brands3

  • 1IS Global, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain.

Public Health Action
|December 27, 2021
PubMed

Insights

Integrating pediatric tuberculosis (TB) care into child health services can improve diagnosis rates. However, child health strategies often neglect TB, highlighting the need for better multi-sectoral collaboration in high-burden countries.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Child Health Services

Background:

  • Undiagnosed pediatric tuberculosis (TB) remains a significant global health challenge, particularly in high-burden regions.
  • Decentralizing child health services offers a potential pathway to integrate and improve pediatric TB care.
  • Effective integration requires alignment between national TB and child health strategies.

Purpose of the Study:

  • To evaluate the normative integration of pediatric TB care into existing child health programs.
  • To assess national guidelines and policies for TB and child health in 15 high TB burden African countries.
  • To identify gaps and opportunities for improving pediatric TB diagnosis and care through service integration.

Main Methods:

  • Systematic review of national TB and child health guidelines and policies.
  • Analysis focused on 15 high TB burden countries in Africa.
  • Evaluation of the extent to which pediatric TB is addressed within child health strategies.

Main Results:

  • Integration of pediatric TB care is mentioned in 80% of national strategic plans for TB.
  • Child health strategies demonstrate insufficient focus on TB as a component for reducing child mortality.
  • Significant gaps exist in policy alignment between national TB and child health programs.

Conclusions:

  • While national TB plans acknowledge integration, child health strategies require strengthening to address pediatric TB effectively.
  • Improved multi-sectoral collaboration among national health programs is crucial for successful integration.
  • Policy revisions are needed to ensure comprehensive inclusion of pediatric TB within child health service delivery frameworks.

Keywords:
integrationpaediatricpolicytuberculosis

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