title: [Tuberculosis control programme in Tunisia: efficacy assessment].
abstract: 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.
authors.affiliation: 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
authors.forename: Mohamed
authors.initials: M
authors.lastname: Kouni Chahed
authors.forename: Hédia
authors.initials: H
authors.lastname: Bellali
authors.forename: Sassia
authors.initials: S
authors.lastname: Dhouibi
authors.forename: Nissaf
authors.initials: N
authors.lastname: Ben Alaya
authors.forename: Béchir
authors.initials: B
authors.lastname: Zouari
mesh_terms: 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
chemical_list: D001500:BCG Vaccine