| pubmed-article:1567266 | pubmed:abstractText | The national program for tuberculosis control has been decentralized in the dispensaries of Dosso Department since 1985. The physician appointed as departmental coordinator at the Departmental Center for Tuberculosis has organized training and ensured a close follow-up of the activities through supervision and valuation. In spite of an important decentralization and an increase of the sputum examinations, the case detection has not been improved (mean detection rate equals to 0.28/1000. In opposite, the cure rate has been increased appreciably (from 24% to 52%) and the noncompliers rate has decreased (from 42% to 19%). The follow-up of the program has got important side benefits on the other activities. The efficiency of the decentralization and of the follow-up is discussed, the costs of the start and use have been estimated. It has been recommended to integrate the program to the other health activities and to delegate the follow-up to the physicians in change in the Medical Center. | lld:pubmed |
