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Soc Sci Med. 2004 Oct;59(7):1529-39.

Community-based treatment of multidrug-resistant tuberculosis in Lima, Peru: 7 years of experience.

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  • 1Division of Social medicine and Health Inequalities, Brigham and Women's Hospital, 1620 Tremont St 3rd Floor, Boston, MA 02120-1613, USA.


Programs implementing community-based directly observed therapy (DOT) have demonstrated success in the treatment of patients with tuberculosis. However, given complexities in the management and treatment of patients infected with multidrug-resistant tuberculosis (MDR-TB), the utilization of community-based DOT to treat MDR-TB patients has only recently been successfully attempted. We describe the first such program and highlight the crucial components and most critical challenges to creating a successful community-based MDR-TB treatment program.

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