Experience in tuberculosis treatment through directly observed therapy short course in health centres and communities in Cambodia

Abstract

Directly observed therapy short course (DOTS) is an effective strategy for controlling tuberculosis (TB), and is used worldwide, mainly in developing countries. The success of this treatment for outpatients with TB was reported in Bangladesh, China, Malawi, and other countries. The method was used by families and village health workers in the communities. A randomized-controlled trial in Pakistan showed no substantial difference in the effectiveness between DOTS by health workers and family members. In Cambodia, DOTS started in 1999 in health centres for outpatient treatment (HC-DOTS). This programme could not be provided for patients in rural areas. However, in 2002, DOTS in the communities (C-DOTS) was implemented. In this paper, we compare the results of TB treatment between HC-DOTS and C-DOTS in Cambodia.