[The National Tuberculosis Control Program in Madagascar].
In 1991, the National Tuberculosis Control Program could start in Madagascar, thanks to the financial support of the French Cooperation. Within 3 years, this allocation of resources allowed the management, respecting the new standards, of 56% of the country's health structures and of more than 75% of the sick. The number of detected and treated patients increased of 80%. During the same period, the recovery rate increased from less than 35% to more than 65%. Those primary results were satisfactory in terms of working but they were not enough in epidemiological terms as the aims were still far: the detection rate of smear-positive pulmonary tuberculosis was 40% whereas it ought be 60%, and their recovery rate was 65% whereas it ought to be over 80%. The geographic extension of the Program and its progress depend on a structural strengthening needing an obvious political will and on the intervention of financial partners cooperating with France and willing to set up a long lasting partnership.
Auregan
G
G
Service Tuberculose-Lèpre, Institut d'Hygiène Sociale (IHS), Antananarivo, Madagascar.
Rakotondramarina
D
D
Razafinimanana
J
J
Ramarokoto
H
H
Ratsirahonana
O
O
Ralamboson
M
M
D005378:Financial Support; D015276:Health Care Rationing; D006801:Humans; D008270:Madagascar / Q000453:epidemiology; D009937:Organizational Objectives; D011159:Population Surveillance; D015995:Prevalence; D015397:Program Evaluation; D014376:Tuberculosis / Q000453:epidemiology / Q000517:prevention & control*