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Provision of Decentralized TB Care Services: A Detect-Treat-Prevent Strategy for Children and Adolescents Affected by

Stella Zawedde-Muyanja1, Anja Reuter2, Marco A Tovar3,4

  • 1The Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala P.O. Box 22418, Uganda.

Pathogens (Basel, Switzerland)
|December 28, 2021
PubMed

Insights

Decentralizing tuberculosis (TB) services improves pediatric care by bringing diagnosis, treatment, and prevention closer to children and adolescents. This approach requires accessible pediatric TB drugs, expanded preventive treatment, and family-centered strategies.

Area of Science:

  • Public Health
  • Pediatrics
  • Infectious Diseases

Background:

  • Tuberculosis (TB) remains a significant global health challenge, particularly affecting children and adolescents.
  • Current healthcare models often present barriers to timely and effective pediatric TB diagnosis, treatment, and prevention.

Purpose of the Study:

  • To review successful models and considerations for decentralizing pediatric TB services.
  • To highlight strategies for improving access to diagnosis, treatment, and prevention for children and adolescents with TB.

Main Methods:

  • Review of existing literature and successful case studies on decentralized TB service delivery.
  • Analysis of key approaches for enhancing primary care capacity for childhood TB.

Main Results:

  • Decentralization models emphasize provider training and access to child-focused diagnostic tools.
  • Successful treatment decentralization involves widely available pediatric drug formulations and brief hospitalizations.
  • Expanded TB preventive treatment requires home visits, TB screening capacity, and shorter regimens.

Conclusions:

  • Decentralizing TB services, involving the private sector and non-TB programs, is crucial for reaching children and adolescents.
  • Family-centered, needs-based programs maximize the impact of decentralized pediatric TB care.

Keywords:
adolescentschildrendecentralizationpatient-centered careprimary health caretuberculosis

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