Skip to main content

Free Content Tuberculosis control in conflict-affected East Timor, 1996–2004

Download Article:
(PDF 861.9 kb)
SETTING: East Timor has undergone major political changes in the past 10 years. Tuberculosis (TB) control has flourished, despite chronic low tension conflict, a brief but intense period of high-level conflict and post-conflict reconstruction.

OBJECTIVE: To assess TB control in East Timor from 1996 to 2004.

DESIGN: Data were collected from a variety of sources. Key TB programme indicators were analysed with reference to WHO targets to assess the performance of the three TB control programmes that operated during the study period.

RESULTS: Before 1999, a non-governmental TB control programme was established in several districts in parallel with the government TB programme, and showed optimistic results. External donor funds, technical assistance and local control strategies were key components. In 1999, conflict led to complete disruption of both programmes. In 2000, a National Tuberculosis Control Programme (NTP) was established from the non-governmental programme in collaboration with other partners. The smear-positive TB case notification rate of 108 per 100000 population is the highest in the region and reflects high population coverage. The cure rate of 81% is close to reaching the WHO target.

CONCLUSION: High-quality TB control has been introduced in conflict-affected East Timor. Further research is needed to examine Timorese approaches to inform other, similar settings.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: East Timor; epidemiology; health services; tuberculosis; war

Document Type: Regular Paper

Affiliations: 1: Menzies School of Health Research, Darwin, Northern Territory, Australia; Faculty of Public Health, Universidade da Paz, Dili, East Timor; and Institute of Advanced Studies, Charles Darwin University, Darwin, Northern Territory, Australia 2: Department of Infectious Disease Epidemiology, Norwegian Institute of Public Health, Oslo, Norway; and Caritas Norway, Oslo, Norway 3: National Tuberculosis Control Programme, Dili, East Timor; and Caritas Dili, Dili, East Timor 4: Ministry of Health, Democratic Republic of Timor Leste (RDTL), Dili, East Timor 5: Caritas Norway, Oslo, Norway; and Caritas Dili, Dili, East Timor

Publication date: 01 September 2006

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more