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The relative importance of DOTS. DOTS Strategy 2005 ‘Prevention starts with cure’. 2005-2006: ‘New’ STOP TB Strategy Development of new medical technologies Health system strengthening Pro-poor strategies to enhance access and treatment. Cross sectoral issues. Themes Emerging in MDG6.
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DOTS Strategy 2005 ‘Prevention starts with cure’ 2005-2006: ‘New’ STOP TB Strategy • Development of new medical technologies • Health system strengthening • Pro-poor strategies to enhance access and treatment
Themes Emerging in MDG6 • Poverty • Social Determinants • Equity and Social Justice • Health Systems • Primary Health Care with a focus on integration of structures, policy and process
Addressing social determinants • Inconsistent results on TB and poverty • Fear of diverting resources from treatment and care • Not a public health business • Lack of communication between institutions • Disease-focused funding mechanisms
What are the international community and governments doing? • WHO- Report of the Commission on Social Determinants • UK Government – ‘Health is Global’ 2008-2013 (From DFID, Department of Health and the Foreign Office) • WHO – World Health Report with a focus on Primary Health Care