In the 1990s, progress by DOTS programmes in countries such as Tanzania, China, Vietnam, and Peru showed that
well financed NTP units, anchored within a country’s ministry of health, could guide substantial improvements in service delivery and treatment outcomes. But many countries struggled with restricted programmatic support, and poor linkage between tuberculosis programmes and health-sector reforms.49 Such limitations led to calls for development of effective health-system governance to mount coherent responses to the worsening epidemic.
In the 1990s, progress by DOTS programmes in countries such as Tanzania, China, Vietnam, and Peru showed thatwell financed NTP units, anchored within a country’s ministry of health, could guide substantial improvements in service delivery and treatment outcomes. But many countries struggled with restricted programmatic support, and poor linkage between tuberculosis programmes and health-sector reforms.49 Such limitations led to calls for development of effective health-system governance to mount coherent responses to the worsening epidemic.
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