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Results of the Personal and Systems Related Determinants of Access to TB Services, Multi-Centre Study in Southern Africa
by Dr. Stephen Chandiwana
2002-02-14

From the period of September 1999 to date the Biomedical Research and Training Institute (BRTI) based in Harare, with financial support from International Development and Research Centre (IDRC) in Canada has been engaged in a multi-centre study which has strong public health implications: to find out the personal and system related determinants of access to health services by suspected and confirmedtuberculosis patients in developing countries. Tuberculosis being one of the most common killer disease before and present times once again is in the centre of attention of national health authorities, researchers as well as donor community as a re- emerging phenomenon. To achieve maximum relevance of the study for the Southern African Region, four SADC countries, where tuberculosis is a major public health problem especially in association with HIV/AIDS were selected to participate in this multi-centre study. These countries are South Africa, Swaziland, Zambia and Zimbabwe being the coordinating centre. Research teams of the above mentioned countries held a workshop in Harare last year to discuss and disseminate the results of the study. The workshop report and recommendations were compiled are now open for further discussion and review from a wider audience. The results of the initiative are now ready for wider dissemination. Please review and pass comments on the workshop report attached and other general recommendations on the way forward and general research issues on the tuberculosis disease. Stakeholders are expected to discuss the relevance of the results with decision makers at country levels. The report can be downloaded from the BRTI website as a WORD file (74p. 388 kB): http://www.brti.co.zw/tuberculosis.doc You may also send comments through e-mail to Alternatively send a fax to: +263-4-870-403 or write to: AFROTBNET, 443 Grasmere Lane, Borrowdale, Harare, Zimbabwe.

From the period of September 1999 to date the Biomedical Research and Training Institute (BRTI) based in Harare, with financial support from International Development and Research Centre (IDRC) in Canada has been engaged in a multi-centre study which has strong public health implications: to find out the personal and system related de-terminants of access to health services by suspected and confirmedtuberculosis patients in developing countries.

Tuberculosis being one of the most common killer disease before and present times once again is in the centre of attention of national health authorities, researchers as well as donor community as a re- emerging phenomenon.

To achieve maximum relevance of the study for the Southern African Region, four SADC countries, where tuberculosis is a major public health problem especially in association with HIV/AIDS were selected to participate in this multi-centre study. These countries are South Africa, Swaziland, Zambia and Zimbabwe being the coordinating centre.

Research teams of the above mentioned countries held a workshop in Harare last year to discuss and disseminate the results of the study. The workshop report and recommendations were compiled are now open for further discussion and review from a wider audience.

The results of the initiative are now ready for wider dissemination. Please review and pass comments on the workshop report attached and other general recommendations on the way forward and general research issues on the tuberculosis disease.

Stakeholders are expected to discuss the relevance of the results with decision makers at country levels. The report can be downloaded from the BRTI website as a WORD file (74p. 388 kB): http://www.brti.co.zw/tuberculosis.doc

You may also send comments through e-mail to <igha@icon.co.zw> <chandiwana@blair.co.zw> <Leolev@samara.co.zw>

Alternatively send a fax to: +263-4-870-403 or write to: AFROTBNET, 443 Grasmere Lane, Borrowdale, Harare, Zimbabwe.


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