Table 1.
Activities | Programme targets | Mechanism of action for health effects | |
---|---|---|---|
India | |||
Improving treatment quality | Improved private-sector quality through provider training, supervision, regulation, and subsidies; retention of patients in care by incentives, nutritional support, and link to social welfare programmes | Initial decrease in patients stopping treatment from 10% to 5% by 2015 for DS-TB and from 11% to 5% by 2020 for MDR-TB; treatment success measured as increases in adherence from 75% to 85% and from 48% to 67%, respectively | Improved retention of patients receiving care leading to increased cure rates |
South Africa | |||
Expanding access to care | Outreach clinics to underserved areas and symptom screening in primary care | Decrease population without access to care from 5% to zero by 2022 | Reduced duration of infectiousness and mortality risks by improved case detection |
Improving treatment quality | Mobile health care, follow-up of patients in the community, counselling on adherence to treatment, and improved MDR-TB staffing | Initial decreases in patients stopping treatment from 17% to 5% by 2021 for DS-TB and from 30% to 15% by 2021 for MDR-TB; treatment success measured as increases in adherence from 76% to 85% and from 52% to 67%, respectively | Improved retention of patients receiving care leading to increased cure rates |
DS-TB=drug-sensitive tuberculosis. MDR-TB=multidrug-resistant tuberculosis.