Impacto económico-social del Programa Nacional de Control de la Tuberculosis (PNCT) en la población cubana

Estimación de los costos de la detección de casos de tuberculosis: Municipio Habana Vieja. 2002

“…Por otra parte existe el beneficio social al evitar gastos por menos enfermos, tratamientos y el mantenimiento de hospitales antituberculosos. Esto hace pensar que los costos hallados en este estudio se justifican [15][16] .…”

“…En Cuba el impacto obtenido por el Programa Nacional de Control de la Tuberculosis (PNCT) ha permitido reducir significativamente la incidencia de la enfermedad en todas sus formas por debajo de 10 por 10 5 habitantes [15][16][17] . El municipio Habana Vieja, a pesar de los esfuerzos locales y provinciales para el control de la tuberculosis en ese territorio, ha mantenido la incidencia más alta de la provincia Ciudad de La Habana desde hace 5 años, según se ha reportado en los informes anuales PNCT de la provincia (datos no publicados) y una de las más altas del país.…”

New indicators proposed to assess tuberculosis control and elimination in Cuba

“…[1,2] The rationale is grounded in the foundations of Cuba's National TB Control Program (PNCT, the Spanish acronym), established at the fi rst meeting of tuberculosis hospitals and dispensaries in 1961 and in the fi rst National Forum on Public Health and Epidemiology in 1962, leading to drafting the Program's guiding document in 1963, the year PNCT implementation began. [3] In 1965, the case notifi cation rate for TB (all forms) was 65 per 100,000 population; it steadily declined to 4.7 per 100,000 in 1991, rose to 14.5 per 100,000 in 1994 [3][4][5][6][7] and again declined steadily to under 10 per 100,000 in 2006-2010, accompanied by a decline in mortality rates. [6][7][8] However, when new case notifi cation and mortality rates reached 7 and 0.2 per 100,000 population, respectively, [3,4] some of PNCT's usual indicators became inadequate for monitoring and evaluation of program processes and impacts.…”

“…This was the situation in Cuba in 2009 when, after PNCT had successfully and continuously operated for 48 years, [5] we set out to eliminate TB. This effort has the advantages of political will; a strong national health system with an extensive and comprehensive network of free services; a strong PNCT with a national microbiological diagnostic network; a Directly Observed Treatment-Short Course (DOTS) strategy since 1971; low incidence rates for new cases and relapses; very low frequency of multidrug resistance and extreme multidrug resistance; as well as intensive control of TB/HIV co-infection-all within a framework of social and community participation.…”

“…This effort has the advantages of political will; a strong national health system with an extensive and comprehensive network of free services; a strong PNCT with a national microbiological diagnostic network; a Directly Observed Treatment-Short Course (DOTS) strategy since 1971; low incidence rates for new cases and relapses; very low frequency of multidrug resistance and extreme multidrug resistance; as well as intensive control of TB/HIV co-infection-all within a framework of social and community participation. [3][4][5][6][7][8] To eliminate TB we must improve quality of case detection, which comprises at least six dimensions, corresponding to the essential global TB control strategies:…”