title: Multi-sectoral approach to DOTS--the only hope.
abstract: This article reviews both the global and Kenyan tuberculosis (TB) situations and gives a manager's perspective of the management of a national TB control program with limited resources. It demonstrates how complex it can be to manage a control program with a 500% increase in case load and a 60% decline in real per capita health expenditure during the last 20 y. The picture is complicated even further by a high prevalence of TB among the country's nomadic population inhabiting the arid and semi-arid parts of the country. Acceptable treatment results are achieved through a combination of appropriate strategies. However, the future picture is grim unless more personnel are used to implement the DOTS strategy.
authors.affiliation: National Leprosy Tuberculosis Program, Ministry of Health, Nairobi, Kenya.
authors.forename: D
authors.initials: D
authors.lastname: Kibuga
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology; D000995:Antitubercular Agents / Q000627:therapeutic use; D003906:Developing Countries / Q000706:statistics & numerical data; D005544:Forecasting; D006306:Health Surveys; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D014171:Transients and Migrants; D014374:Tuberculin Test / Q000379:methods; D014376:Tuberculosis / Q000188:drug therapy* / Q000453:epidemiology; D018088:Tuberculosis, Multidrug-Resistant / Q000453:epidemiology; D014944:World Health Organization
chemical_list: D000995:Antitubercular Agents