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Quality matters: Redefining child TB care with an emphasis on quality.

Authors
  • Amanullah, Farhana1, 2
  • Bacha, Jason Michael3, 4, 5
  • Fernandez, Lucia Gonzalez5, 6
  • Mandalakas, Anna Maria5
  • 1 The Indus Hospital, Department of Pediatrics, Korangi Crossing, 4th Floor IHRC, Karachi, Pakistan. , (Pakistan)
  • 2 Interactive Research and Development, Pakistan. , (Pakistan)
  • 3 Baylor International Pediatric AIDS Initiative (BIPAI) at Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States. , (United States)
  • 4 Baylor College of Medicine Children's Foundation-Tanzania, Mbeya, Tanzania. , (Tanzania)
  • 5 The Global Tuberculosis Program, Texas Children's Hospital, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States. , (United States)
  • 6 The International AIDS Society. Geneva. Switzerland. , (Switzerland)
Type
Published Article
Journal
Journal of clinical tuberculosis and other mycobacterial diseases
Publication Date
Dec 01, 2019
Volume
17
Pages
100130–100130
Identifiers
DOI: 10.1016/j.jctube.2019.100130
PMID: 31788571
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Children have been neglected in the fight against tuberculosis (TB) for decades. Despite being the number one infectious disease killer, TB does not feature on the child survival agendas partly due to absent and inaccurate data. Quality is a missing ingredient in TB care in children, yet high rates of unfavorable TB outcomes highlight its importance in this age group. Quality care is particularly important for TB affected children in the absence of a point of care sensitive and specific diagnostic test. Using the current models of child TB care, it will take another 200 years to end TB. Without focusing on the quality of child TB care, the ambitious country specific United Nations High Level Meeting for TB targets will carry minimal impact. High TB burden countries must also adopt Universal Health Care (UHC) and ensure that quality TB care is made free and equitable for all children, adolescents and their affected families. We advocate for the importance of evaluating the quality of child TB care, and provide a basic framework for quality in child TB with special attention given to creating differentiated service delivery models for children and families affected by TB. © 2019 Published by Elsevier Ltd.

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