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Open Access Health care gaps in the global burden of drug-resistant tuberculosis

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The drug-resistant tuberculosis (DR-TB) cascade—from estimated or incident cases to numbers successfully treated or disease-free survival—has long been characterised by sharp declines at each step in the cascade. The losses along the cascade vary across different settings, and the reasons why some countries have a higher burden of DR-TB are complex and multifactorial; broadly, weak health systems, inadequate financing and poverty all impact differential access to DR-TB care. Within a human rights framework that mandates the right to health and the right to benefit from scientific progress, the aim of this review is to focus on describing inequities in access to DR-TB care at critical points in the cascade.
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Keywords: DR-TB diagnostic gaps; DR-TB human rights law; DR-TB new drugs and shorter regimen; DR-TB treatment gaps

Document Type: Research Article

Affiliations: 1: Center for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town 2: Division of Medical Microbiology and the Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa 3: McGill International TB Centre, McGill University, Montreal, Quebec, Canada 4: College of Liberal Arts and Sciences, Wayne State University, Detroit, Michigan 5: Northwestern Pritzker School of Law, Chicago, Illinois, USA 6: International Union Against TB and Lung Disease, Paris, France

Publication date: 01 February 2019

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

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