[Tuberculosis control programme in Tunisia: efficacy assessment].
The aim of this study was to assess the efficacy of the national Tuberculosis Control Programme in Tunisia, by applying the 8-stage model proposed by Piot (1967). Two retrospective cohorts of tuberculosis cases, including all new smear-positive cases detected by all laboratories in the study area during the study period, were selected at least 2 years after treatment began. The real number of new active cases during the study period was estimated at 142, the case detection rate at 61%. In all, 70% of patients started tuberculosis treatment, and regular use of the home treatment varied from 87% (including irregular use) to 71% (excluding irregular use). The low global efficacy of the program, which ranged from 26 to 31%, indicates the need for improved application of the strategy by programme managers.
Kouni Chahed
Mohamed
M
Département d'épidémiologie et de médecine préventive Faculté de médecine de Tunis 15, rue Djebel-Lakhda La Rabta 1007 Tunis Tunisie. mohamed.chahel@rns.tn
Bellali
Hédia
H
Dhouibi
Sassia
S
Ben Alaya
Nissaf
N
Zouari
Béchir
B
D001500:BCG Vaccine / Q000627:therapeutic use; D015331:Cohort Studies; D006801:Humans; D015994:Incidence; D009042:Motivation; D012189:Retrospective Studies; D014376:Tuberculosis / Q000453:epidemiology / Q000276:immunology / Q000517:prevention & control*; D014416:Tunisia / Q000453:epidemiology; D014944:World Health Organization
D001500:BCG Vaccine