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Tuberculosis in the European Union and European Economic Area: a survey of national tuberculosis programmes

Collin, SM; De Vries, G; Lönnroth, K; Migliori, GB; Abubakar, I; Anderson, SR; Zenner, D; (2018) Tuberculosis in the European Union and European Economic Area: a survey of national tuberculosis programmes. European Respiratory Journal , 52 (6) , Article 1801449. 10.1183/13993003.01449-2018. Green open access

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Abstract

QUESTION: How many European Union (EU) and European Economic Area (EEA) countries have national TB control plans/strategies, and what are the priority actions/populations and barriers to implementation? METHODS: Survey of EU/EEA national TB programme leads. RESULTS: The response rate was 100% (31 countries). 55% of countries reported having a national TB strategy, all of which were in implementation; five were preparing a strategy. 74% have a defined organisational TB control structure with central coordination, and 19% have a costed programme budget; few organisational structures included patient/civil society representation. The most frequently mentioned priority TB control actions were: reaching vulnerable population groups (80%); screening for active TB in high-risk groups (63%); implementing electronic registries (60%); contact tracing and outbreak investigation (60%); and tackling MDR-TB (60%). Undocumented migrants were the most commonly (46%) identified priority population. Perceived obstacles to implementation included barriers related to care recipients (lack of TB knowledge, treatment seeking/adherence), care providers (including need for specialist training of nurses and doctors) and health system constraints (funding, communication between health and social care systems). ANSWER: This survey has provided an insight into TB control programmes across the EU/EEA which will inform the development of a TB strategy toolkit for member states.

Type: Article
Title: Tuberculosis in the European Union and European Economic Area: a survey of national tuberculosis programmes
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1183/13993003.01449-2018
Publisher version: http://doi.org/10.1183/13993003.01449-2018
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10061105
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