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Bitter pills: care givers navigating stigma, stock outs, and unfriendly formulations in Botswana
E. M. H. Mitchell

Q 2016 The Union

In a thought-provoking editorial KNCV’s Dr. Ellen Mitchell reflects on an article by Stillson and colleagues on ‘Exploring challenges faced by care givers of children with tuberculosis in Botswana’. Dr. Mitchell calls on TB professionals to look at the service provision for pediatric tuberculosis from all angles and to listen more to the parents and other care givers who are responsible for the children’s daily survival.
Thus, the development of new products may benefit from care giver input, for instance in developing appropriate and patient-friendly ways to administer treatment to children.
“If we can also take seriously care givers’ concerns about commodity management, stigma and patient costs, they too will share in our enthusiasm in the powerful diagnostic and treatment options we are developing for pediatric TB … These care givers remind us that our End TB strategy also contains the crucial goal of zero suffering – a concept we still have only begun to define.”

KNCV has developed the KNCV Benchmarking tool for TB in Children and Adolescents and KNCV Benchmarking tool for TB in Children and Adolescents manual. The benchmarking tool is a self-assessment tool, meant to serve as a basis for discussions, brainstorming, and strategic planning and as a tool for monitoring progress in implementation of policies on the management of TB in children and adolescents in line with most recent WHO guidance, within the framework of a national TB programme.

A handbook for national tuberculosis control programmes

Quality assesment of chest radiography.

for District Hospitals in Resource Constrained Settings on Quality Assurance of Chest Radiography: for better TB control and Health system strengthening

for District Hospitals in Resource Constrained Settings for the Quality Improvement of Chest X-ray Reading in Tuberculosis Suspects.

A zip file containg documents for Zimbabwe guidelines an training about TB

a zip file containing a tool to Estimate Patient Costs.


The purpose of this document is to capitalize on the untapped potential of the business sector to respond to these two epidemics. Built on the 2003 guidelines on contribution of workplaces to TB control prepared jointly by the ILO and WHO, these guidelines should help capitalize on increased awareness about TB and HIV and their impact on businesses, and strengthen partnerships between national TB programmes, national HIV programmes, and the business sector to improve TB and HIV prevention, treatment and care activities.

Overzicht alle informatie KNCV Kennisbank

KNCV has been fighting TB since its establishment in 1903. Over the past 120 years, the organization has acquired indispensable knowledge and experience in the field of effective TB prevention and care, resulting in pre-elimination in the Netherlands and significant contributions to global evidence generation, policy development and TB program implementation worldwide.

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