Article ID: CBB928971565

Treatment on Trial: Tanzania’s National Tuberculosis Program, the International Union against Tuberculosis and Lung Disease, and the Road to DOTS, 1977-1991 (2019)


Tanzania's national tuberculosis control program, created in 1977, is credited with having been the main inspiration for the World Health Organization's Directly Observed Treatment, Short-Course (DOTS) strategy for the control of tuberculosis, which was implemented from 1994. The text focuses on what previously took place in Tanzanian tuberculosis control between 1977 and the early 1990s. What was it that the International Union against Tuberculosis and Lung Disease, which was central in the effort, assisted in creating? In what sense was the program innovative? How could a country whose health system was destroyed by a deepening economic crisis in the 1980s become a lighthouse of tuberculosis control? How much consideration was given to the rise of HIV/AIDS that occurred in parallel? The paper proposes answers to these questions, and suggests that we should see the creation of the Tanzanian program as a laboratory of nascent global health.

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Authors & Contributors
Jones, Greta
Malcolm, Elizabeth
Waddington, Keir
Kelly, James G.
Geary, Laurence M.
Froggatt, Peter
História, Ciências, Saúde---Manguinhos
Bulletin of the History of Medicine
History of Science
Social History of Medicine
Canadian Bulletin of Medical History/Bulletin Canadien d'Histoire de la Medecine
Journal of the History of Medicine and Allied Sciences
International Specialized Book Services
Lugar Editorial
World Health Organization (WHO)
Vanderbilt University Press
Boydell Press
Public health
Medicine and politics
Disease and diseases
Medicine and government
Wilde, Robert Willis
Palanca, José Alberto
Fulgencio Batista
Great Britain
Latin America
Tanzania (Tanganyika, Zanzibar)
20th century, late
20th century
19th century
20th century, early
18th century
17th century
World Health Organization (WHO)
Royal Belfast Academical Institution
Catholic University of Ireland (Dublin)

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