Establishment and development of the National Tuberculosis Control Programme in Vietnam

N. T. Huong, B. D. Duong, N. V. Co, H. T. Quy, L. B. Tung, M. Bosman, A. Gebhardt, J. P. Velema, J. F. Broekmans, M. W. Borgdorff

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To describe the establishment and development of the National Tuberculosis Control Programme (NTP) of Vietnam. METHODS: Data were obtained from the surveillance system established by the new NTP in 1986 and based on the principles now described as the WHO DOTS strategy. RESULTS: The proportion of districts covered by the NTP increased from 40% in 1986 to almost 100% in 2000. The proportion of communes applying NTP guidelines increased from 18% in 1986 to 99.8% in 2000. The total number of tuberculosis cases notified increased from 8737 in 1986 to 89 792 in 2000. Most of these are new smear-positive cases. Based on WHO estimations of the incidence rate, the proportion of new smear-positive cases detected and put on short-course treatment has been over 70% since 1996. Reported cure rates with short-course chemotherapy are consistently over 85%. CONCLUSIONS: DOTS is feasible in a low-income, high-burden country. The main reasons for success were political commitment, a well-functioning health network, integration of tuberculosis control into the general health service at district level, a continuous supply of drugs and effective external support. Major challenges are long-term financial support, expansion to remote areas and vulnerable groups, definition of the role of the private sector, and future developments of the HIV epidemic and multidrug resistance.

Original languageEnglish (US)
Pages (from-to)151-156
Number of pages6
JournalInternational Journal of Tuberculosis and Lung Disease
Volume9
Issue number2
StatePublished - Feb 2005
Externally publishedYes

Fingerprint

Vietnam
Tuberculosis
Financial Support
Private Sector
Multiple Drug Resistance
Health Services
HIV
Guidelines
Drug Therapy
Incidence
Health
Pharmaceutical Preparations

Keywords

  • Epidemiology and control
  • Tuberculosis
  • Vietnam

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Huong, N. T., Duong, B. D., Co, N. V., Quy, H. T., Tung, L. B., Bosman, M., ... Borgdorff, M. W. (2005). Establishment and development of the National Tuberculosis Control Programme in Vietnam. International Journal of Tuberculosis and Lung Disease, 9(2), 151-156.

Establishment and development of the National Tuberculosis Control Programme in Vietnam. / Huong, N. T.; Duong, B. D.; Co, N. V.; Quy, H. T.; Tung, L. B.; Bosman, M.; Gebhardt, A.; Velema, J. P.; Broekmans, J. F.; Borgdorff, M. W.

In: International Journal of Tuberculosis and Lung Disease, Vol. 9, No. 2, 02.2005, p. 151-156.

Research output: Contribution to journalArticle

Huong, NT, Duong, BD, Co, NV, Quy, HT, Tung, LB, Bosman, M, Gebhardt, A, Velema, JP, Broekmans, JF & Borgdorff, MW 2005, 'Establishment and development of the National Tuberculosis Control Programme in Vietnam', International Journal of Tuberculosis and Lung Disease, vol. 9, no. 2, pp. 151-156.
Huong, N. T. ; Duong, B. D. ; Co, N. V. ; Quy, H. T. ; Tung, L. B. ; Bosman, M. ; Gebhardt, A. ; Velema, J. P. ; Broekmans, J. F. ; Borgdorff, M. W. / Establishment and development of the National Tuberculosis Control Programme in Vietnam. In: International Journal of Tuberculosis and Lung Disease. 2005 ; Vol. 9, No. 2. pp. 151-156.
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