Decentralized diagnosis and treatment of drug-resistant tuberculosis in Khayelitsha, South Africa

Outcomes and successes of the decentralized model of care
Médecins Sans Frontières (Doctors Without Borders) – Khayelitsha, March 2015

24 pp. 1.4 MB: 002_resize

In late 2007, Médecins Sans Frontières (MSF), in collaboration with local department of health authorities, began piloting a decentralized model of care in Khayelitsha to enable clinically stable patients with drug-resistant tuberculosis (DR-TB) to be diagnosed and managed by clinicians in facilities at a primary health care (PHC) level. The aim of this report is to provide updated outcomes of the decentralized programme; to share new successes regarding DR-TB patient care and support; and to provide insight into further improvements in the model of decentralized DR-TB care.

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