Details

Autor(en) / Beteiligte

• Marais, Ben J
• Zumla, Alimuddin
• Sotgiu, Giovanni
• Spanevello, Antonio
• Migliori, Giovanni B
• Keshavjee, Salmaan
• Farmer, Paul E

Titel

History of Tuberculosis and Drug Resistance

Ist Teil von

• The New England journal of medicine, 2013-01, Vol.368 (1), p.88-90

Ort / Verlag

United States: Massachusetts Medical Society

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• To the Editor: In their historical overview of global efforts to control tuberculosis, Keshavjee and Farmer (Sept. 6 issue) 1 argue that the prioritization of global health funding based on measurable outcomes and high-return investments contributed to the fragmentation of primary health care. We agree but acknowledge that it can be difficult to strike the right balance between the improved efficiencies provided by vertical programs and comprehensive primary care. Importantly, international funding should not erode local ownership or investment in comprehensive primary care, which serves as the bedrock of a well-functioning health care system. Global implementation of the DOTS (directly observed . . .