Zimbabwe National Tuberculosis Guidelines. Fourth Edition, October 2010
(2010; 116 pages)

The third edition of the national TB guidelines was published and printed in 2007. The management of TB keeps evolving which calls for the regular review of the national guidelines. Control strategies and control policies have been refined as per the STOP TB Strategy and in response to HIV/TB co-infection, multi-drug resistance TB and the role of communities and the private sector in TB control. The increase of HIV/TB coinfection globally and in Sub-Saharan Africa requires changes in strategies to effectively deal with the dual infection. Priority is also being given to research to support evidence-based programming in TB control as well as the strengthening of health systems.

These guidelines are a summary of the many guidance and information produced from best practice and emerging evidence and is an overview of the full range of activities that need to be done to meet the TB-related Millennium Development Goals (MDGs) as well as the Stop TB Partnership targets set for 2015. It also follows the organisation and structure of the components of the Stop TB Strategy.

In the care and prevention of TB, the approach must be patient-centred and must be a partnership between the patient, the community and the health system. It must be integrated in all aspects of health care, including HIV care and prevention. These guidelines focus on the care and management of patients and the reduction of risks for others. Tuberculosis is one of the few diseases in which clinical care and public health are integrated to achieve cure and prevention. These guidelines therefore emphasise both aspects of the health of the population and attempts to interweave them seamlessly.

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