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A system-wide comprehensive tuberculosis control model in China

Guest edited by Qian Long, Fei Huang and Shitong Huan

A thematic series in Infectious Diseases of Poverty

TB special issue © The Bill & Melinda Gates Foundation, China Office

Tuberculosis (TB) is a leading infectious cause of death globally and the top killer of antimicrobial-resistant infections. China is one of the high burden countries of both TB and multi-drug resistant TB (MDR-TB). With support from the Bill and Melinda Gates Foundation, the Chinese Center for Disease Control and Prevention has introduced and supported in implementing a system-wide comprehensive TB control model in three provinces: Zhejiang, Jilin and Ningxia varying in geographic location and socio-economic development levels. The targeted interventions include application of new technologies for case detection and diagnosis, introduction of electronic medication for TB patient management, reform of TB health information system, capacity building of TB professionals, and multi-sources financing for TB and pilot of new payment method. This special issue from Infectious Disease of Poverty collected several articles that assessed the effects of the comprehensive interventions on TB and MDR-TB detection, treatment and financial risk protection as well as implementation experience and lessons learned during the project periods. The goal of this special issue is to share the good practices, experience and lessons from the project and to inform better policy-making. We also discuss way forwards to strengthening TB control system in China, and their implications for what other low- and middle-income countries in the era of the COVID-19 pandemic.

  1. China has successfully reduced tuberculosis (TB) incidence rate over the past three decades, however, challenges remain in improving the quality of TB diagnosis and treatment. In this paper, we assess the effe...

    Authors: Zhi-Peng Li, Wen-Hui Mao, Fei Huang, Ni Wang, Li-Ping Ma, Li-Qun Zhang, Meng-Qiu Gao, Wei-Bing Wang, Qi Zhao and Sheng-Lan Tang
    Citation: Infectious Diseases of Poverty 2021 10:92
  2. PTB is an infectious disease, which not only seriously affects people’s health, but also causes a heavier disease economic burden on patients. At present, reform of the medical insurance payment can be an effe...

    Authors: Xing-Yu Hu and Guang-Ying Gao
    Citation: Infectious Diseases of Poverty 2021 10:78
  3. Given the context of rapid technological change and COIVD-19 pandemics, E-learning may provide a unique opportunity for addressing the challenges in traditional face-to-face continuing medical education (CME)....

    Authors: Zi-Yue Wang, Li-Jie Zhang, Yu-Hong Liu, Wei-Xi Jiang, Jing-Yun Jia, Sheng-Lan Tang and Xiao-Yun Liu
    Citation: Infectious Diseases of Poverty 2021 10:72
  4. The China National Health Commission-Gates TB Project Phase III implemented a comprehensive TB control model including multiple interventions to address the burden of drug-resistant TB (DRTB). This study aims ...

    Authors: Wei-Xi Jiang, Zhi-Peng Li, Qi Zhao, Meng-Qiu Gao, Qian Long, Wei-Bing Wang, Fei Huang, Ni Wang and Sheng-Lan Tang
    Citation: Infectious Diseases of Poverty 2021 10:54
  5. World Health Organization recommends countries introducing new drug and short treatment regimen for drug resistant tuberculosis (DR-TB) should develop and implement a system for active pharmacovigilance that a...

    Authors: Jing-Tao Gao, Juan Du, Gui-Hui Wu, Yi Pei, Meng-Qiu Gao, Leonardo Martinez, Lin Fan, Wei Chen, Li Xie, Yu Chen, Hua Wang, Long Jin, Guo-Bao Li, Pei-Lan Zong, Yu Xiong, Qian-Hong Wu…
    Citation: Infectious Diseases of Poverty 2021 10:32
  6. In China, an indigenously developed electronic medication monitor (EMM) was designed and used in 138 counties from three provinces. Previous studies showed positive results on accuracy, effectiveness, acceptab...

    Authors: Ni Wang, Lei Guo, Hemant Deepak Shewade, Pruthu Thekkur, Hui Zhang, Yan-Li Yuan, Xiao-Meng Wang, Xiao-Lin Wang, Miao-Miao Sun, Fei Huang and Yan-Lin Zhao
    Citation: Infectious Diseases of Poverty 2021 10:29
  7. E-learning is a growing phenomenon which provides a unique opportunity to address the challenges in continuing medical education (CME). The China-Gates Foundation Tuberculosis (TB) Control Program implemented ...

    Authors: Zi-Yue Wang, Li-Jie Zhang, Yu-Hong Liu, Wei-Xi Jiang, Sheng-Lan Tang and Xiao-Yun Liu
    Citation: Infectious Diseases of Poverty 2021 10:23
  8. China is still faced with the public health challenge of tuberculosis (TB), and a robust surveillance system is critical for developing evidence-based TB control policies. The Tuberculosis Information Manageme...

    Authors: Wei-Xi Jiang, Fei Huang, Sheng-Lan Tang, Ni Wang, Xin Du, Hui Zhang and Yan-Lin Zhao
    Citation: Infectious Diseases of Poverty 2021 10:22
  9. The End Tuberculosis (TB) Strategy of the World Health Organization highlights the need for patient-centered care and social protection measures that alleviate the financial hardships faced by many TB patients...

    Authors: Qian Long, Wei-Xi Jiang, Hui Zhang, Jun Cheng, Sheng-Lan Tang and Wei-Bing Wang
    Citation: Infectious Diseases of Poverty 2021 10:17