More than Ten Years of DOTS in Bosnia and Herzegovina

More than Ten Years of DOTS in Bosnia and Herzegovina

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Directly Observed Therapy Short-course (DOTS) is composed pothys slogan in english of five distinct elements: political commitment, case detection through quality-assured bacteriology; drug supplies; surveillance and monitoring systems and use of highly efficacious regimens; and direct observation of treatment.DOTS produces cure rates of up to 95 percent even in the poorest countries and prevents the development of Multi-Drug Resistant Tuberculosis.National TB Programme (NTP) has been started to introduce in 1994 according to DOTS principles in B&H with central and regional levels.At central levels there are national TB coordinators, and in all Cantons/Regions there are regional TB Coordinators.

During intensive phase of therapy, patients are hospitalized.In the second phase of therapy, patients are treated in anti-tuberculosis dispensaries and some of them by a responsible member of the family (family supervision).There are several weaknesses in implementation mybouddha bracelet 7 chakras of DOTS in B&H: TB case detection was not fully implemented in all medical services.Registration of TB cases in some facilities, there is no official central recommended registry, individual reporting for treatment outcomes and establishing a reliable monitoring and evaluation system.

Application for 6 round of The Global Fund to Fight AIDS, TB and Malaria (GFATM) had been finally approved and signed for B&H in October 2007.These grants would repair some implementation gaps and improve DOTS strategy in B&H.DOTS - Directly Observed Therapy Short-course, usual standard abbreviation for TB strategy all over the world.