The role of communication in Perus fight against tuberculosis.

This report describes how Peru achieved its success with a particular emphasis on the role of strategic health communication. The report includes an analysis of lessons learned and implications that may help other developing countries in their fight against TB. The authors compiled this report by reviewing reports from Perus National TB Control Program as well as interviews with Ministry of Health staff policymakers and representatives of international organizations working in Peru interviews with leaders and staff engaged in TB program implementation and interviews with TB patients and their families. After decades of neglect underfunding and poor program performance the NTCP finally received the attention it deserved in the early 1990s. Strong political will combined with international support revived the national TB control effort. Perus political leadership recognized the impact tuberculosis was having not only on peoples health but also on the countrys economy. In 1991 Peru declared tuberculosis a widespread public health problem and allocated increased resources to the NTCP. The NTCP worked hard to extend DOTS to the entire population. To accomplish this the program worked in several areas to expand and improve clinical services train personnel and identify patients. (excerpt)