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[The National Tuberculosis Control Program in Madagascar]
G Auregan1, D Rakotondramarina, J Razafinimanana
1Service Tuberculose-Lèpre, Institut d'Hygiène Sociale (IHS), Antananarivo, Madagascar.
Archives De L'Institut Pasteur De Madagascar
|January 1, 1995
Summary
The National Tuberculosis Control Program in Madagascar significantly improved patient detection and treatment rates within three years. However, further progress requires sustained political will and international partnerships to meet epidemiological targets.
Area of Science:
- Public Health
- Infectious Disease Control
- Global Health
Context:
- The National Tuberculosis Control Program (NTCP) in Madagascar initiated in 1991 with French Cooperation funding.
- Initial resource allocation enabled management of 56% of health structures and over 75% of tuberculosis (TB) patients within three years.
Purpose:
- To evaluate the initial impact and identify limitations of the NTCP in Madagascar.
- To assess the program's effectiveness in increasing TB detection and treatment rates against established epidemiological goals.
Summary:
- The NTCP achieved an 80% increase in detected and treated TB patients and raised the recovery rate from under 35% to over 65%.
- Despite these gains, the program fell short of targets: smear-positive pulmonary TB detection was 40% (target 60%) and recovery was 65% (target >80%).
Impact:
- The initial phase demonstrated satisfactory operational results but highlighted the need for enhanced epidemiological impact.
- Sustainable program expansion necessitates structural strengthening, political commitment, and long-term financial partnerships beyond initial French Cooperation support.