@article{1107,
  keywords = {Antitubercular Agents, Communicable Disease Control, Developing countries, Health Care Reform, Humans, Tuberculosis, World Health Organization, Zambia},
  author = {Bosman M C},
  title = {Health sector reform and tuberculosis control: the case of Zambia.},
  abstract = {<p><b>SETTING: </b>Zambia, 1995-1997.</p><p><b>OBJECTIVE: </b>To describe the process leading to the collapse of Zambia's National Tuberculosis Programme NTP).</p><p><b>DESIGN: </b>A descriptive analysis of health sector reform in Zambia and its effects on the NTP during the period 1995-1997.</p><p><b>RESULTS: </b>By the end of 1997 the NTP had stopped functioning. The main reason was that external support had ended, while the National Strategic Health Plan 1995-1999 had no budget for special programmes according to the policy to integrate these into the general health services. As a consequence, technical support for tuberculosis control to districts ended as staff was reduced to one officer responsible for the national coordination of AIDS/HIV, sexually transmitted diseases (STD), tuberculosis and leprosy. The most serious effect of the transition was the interruption of supplies of anti-tuberculosis drugs in 1998.</p><p><b>CONCLUSIONS: </b>The experience in Zambia demonstrates the urgent need for constructive dialogue between 'health reformers' and 'disease controllers'. The aim of this dialogue would be to develop a model that ensures that tuberculosis patients are properly diagnosed and cured in countries that are embarking on a reform of their health services.</p>},
  year = {2000},
  journal = {The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease},
  volume = {4},
  pages = {606-14},
  month = {2000 Jul},
  issn = {1027-3719},
  language = {eng},
}