Joint tuberculosis control programme review mission to the Republic of Moldova

ABSTRACT

The WHO Regional Office for Europe organized a comprehensive national tuberculosis programme (NTP) reviewmission in the Republic of Moldova on 7–11 September and 22–29 November 2009. The review focused on achievementsand issues in the treatment of tuberculosis (TB) based on the WHO Stop TB Strategy components, including politicalcommitment, case detection and diagnosis, directly observed treatment, drug supply, monitoring and evaluation.A separate review focused on the management of HIV-TB coinfection in the context of multidrug resistance, healthsystem strengthening, empowerment of TB patients, civil society engagement and cross-sector cooperation betweenvarious health care providers, including the prison system and the Transnistria region. The structure of TB services inthe health system was investigated in detail, alongside a thorough analysis of the epidemiological situation. For eachcomponent, strengths and remaining gaps were identified, and relevant and specific areas for action suggested. Thereview’s conclusions and recommendations pave the way for the development of the new NTP of 2011–2015.