Directly Observed Treatment Strategy Still a Challenge in Tuberculosis Control:The South African Plight

The challenges in the management of tuberculosis (TB) are clearly manifested by the escalating numbers of not only the ordinary tuberculosis but also the drug resistant forms of TB, namely MDR-(Multi-Drug Resistance) and XDR-TB (Extreme Drug Resistance-Tuberculosis). The management of tuberculosis in SA and the whole world has been ranked as a priority due to its impact on health and economy. The effectiveness of Directly Observed Treatment Strategy (DOTS) as a strategy for the control of TB and its treatment is affected by a variety of socioeconomic issues around the world and particularly in the developing countries. This study was conducted to highlight the challenges faced by the country in the control tuberculosis even in the implementation of the directly observed treatment strategy.