Mandatory tuberculosis case notification in high tuberculosis-incidence countries: policy and practice
Mandatory tuberculosis case notification in high tuberculosis-incidence countries: policy and practice
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DOI：
10.1183/13993003.00956-2016
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发表时间：
2016-12-01
影响因子：
24.3
通讯作者：
Raviglione, Mario
中科院分区：
文献类型：
--
作者：
Uplekar, Mukund;Atre, Sachin;Raviglione, Mario
强制性结核病（TB）通报是终结结核病战略下的一项重要政策，但对其执行情况知之甚少，特别是在结核病高发国家。我们对选定的高发病率国家进行了文献检索，随后在结核病高、中、低发病率国家的关键知情者中进行了基于问卷的调查。有关结核病高发国家结核病报告的已发表文献有限，但它确实说明了当前报告的一些障碍以及电子系统在促进私人提供者报告方面的重要性。在所联系的54个国家中，成功地从40个国家收集了所需的调查数据。结核病在15个高发病率国家中的11个国家、所有16个中等发病率国家和所有9个低发病率国家都是必须报告的。公共部门设施的结核病病例通报通常是系统化的，但很少有高发国家拥有便利私营保健提供者通报的系统和工具。在旨在最终消除结核病的新的结束结核病战略的背景下，所有国家都应将结核病列入其国家应报告疾病清单。提高私营提供者通知的便利程度对于有效执行至关重要。为此，投资加强疾病监测系统和采用数字化工具简化通报是合乎逻辑的前进方向。
Mandatory tuberculosis (TB) notification is an important policy under the End TB Strategy, but little is known about its enforcement especially in high TB incidence countries. We undertook a literature search for selected high-incidence countries, followed by a questionnaire-based survey among key informants in countries with high-, intermediate- and low-TB incidence. Published literature on TB notification in high-incidence countries was limited, but it did illustrate some of the current barriers to notification and the importance of electronic systems to facilitate reporting by private providers. Required survey data were successfully gathered from 40 out of 54 countries contacted. TB is notifiable in 11 out of 15 high-incidence countries, all 16 intermediate-incidence countries, and all nine low-incidence countries contacted. TB case notification by public sector facilities is generally systematised, but few high-incidence countries had systems and tools to facilitate notification from private care providers. In the context of the new End TB Strategy aimed at eventual TB elimination, all countries should have TB on their national list of notifiable diseases. Enhancing the ease of notification by private providers is essential for effective implementation. To that effect, investing in strengthening disease surveillance systems and introducing digital tools to simplify notification are logical ways forward.