title: Limited access to drugs for resistant tuberculosis: a call to action.
abstract: Although the rate of new tuberculosis (TB) cases has been falling worldwide, progress toward the targets for diagnosis and treatment of drug-resistant TB is far off-track. In countries with no reliable TB surveillance system, setbacks and progression of TB control is barely reflected and little is known on the situation in the field. Interviews with health professionals in Gabon revealed limited access to first- and second-line TB drugs and important deficiencies in basic TB control. National and international action needs to be taken to meet the global TB control targets.
authors.affiliation: Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné BP118, Gabon Division of Internal Medicine, Centre of Tropical Medicine and Travel Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany Department of Pediatric Pneumology and Immunology, Charité-Universitätsmedizin Berlin, Berlin 10117, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Bélard
authors.affiliation: Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné BP118, Gabon Division of Internal Medicine, Centre of Tropical Medicine and Travel Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany.
authors.forename: Saskia
authors.initials: S
authors.lastname: Janssen
authors.affiliation: Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné BP118, Gabon Division of Internal Medicine, Centre of Tropical Medicine and Travel Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands.
authors.forename: Kara K
authors.initials: KK
authors.lastname: Osbak
authors.affiliation: Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné BP118, Gabon Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany.
authors.forename: Ayola A
authors.initials: AA
authors.lastname: Adegnika
authors.affiliation: Hôpital d'Instruction des Armées OBO, Libreville BP 20404, Gabon.
authors.forename: Magloire
authors.initials: M
authors.lastname: Ondounda
authors.affiliation: Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné BP118, Gabon Division of Internal Medicine, Centre of Tropical Medicine and Travel Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam 1100 DD, The Netherlands Institute of Tropical Medicine, University of Tübingen, Tübingen 72074, Germany.
authors.forename: Martin P
authors.initials: MP
authors.lastname: Grobusch
mesh_terms: D000995:Antitubercular Agents / Q000600:supply & distribution* / Q000627:therapeutic use; D014943:Global Health; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D036301:Qualitative Research; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents
keywords: Africa; Gabon; accessibility; drug-resistance; tuberculosis treatment