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The meeting was attended by over 110 participants representing the global TB control community, paediatricians, researchers, former patients, civil society, global health activists, advocacy experts, donors, governmental agencies and industry.
Cost per case detected has been used in the global TB control community through two international initiatives: Fund for Innovative DOTS Expansion Through Local Initiatives to Stop TB (FIDELIS) by the International Union Against Tuberculosis and Lung Disease launched in 2004 [ 19], and TB REACH by the Stop TB Partnership launched in 2010 (http://www.stoptb.org/global/awards/tbreach).stoptb.org/global/awards/tbreach
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This is particularly true for childhood TB, which is an indication of failing TB control in the community [ 11].
As childhood TB results from recent infection and subsequent disease development, children serve as a sentinel marker of ongoing M. tuberculosis transmission and failing TB control within a community [ 5].
While the principles of community contribution of TB are generalisable (e.g. close links between the general health services, TB control programme and community-based NGOs), the details of how this model of service delivery is designed and implemented will depend largely on the specific setting.
It also explored a practical way of involving HEWs in TB control under the community-based initiative of HEP in Ethiopia.
The study findings will help in strengthening the RNTCP and in planning of appropriate advocacy activities on TB control both for the community and for the health personnel.
This might imply that China's treatment strategy has improved, but that community TB control is still insufficient [ 21].
To enhance the impact on community TB control, it is likely that ART will need to be implemented with high-population coverage and at much higher CD4 cell counts than is currently the case.
Indeed it is possible that HIV is having a double effect on TB control services in our communities; not only are there more TB cases and therefore increased transmission of disease, but also there is an increasing burden on over-stretched health services, making effective control harder to achieve [27].
Successful interventions such as community education and integrating community involvement in TB control may help to reduce social barriers to treatment and stigma [ 25, 26].
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