Public health
Sri Lanka’s own path for TB control
Open access · cc by · source: Europe PMC
Sri Lanka already had a specialist TB service; WHO community integration met chest-clinic resistance and local politics.
Key findings
Madras domiciliary trials underwrote a community model that became DOTS later. Sri Lanka was not India: infrastructure and a chest-clinic culture already existed. Clinicians warned that sputum-only case-finding missed many active cases.
Methodology
The paper follows the 1966–72 attempt to move the WHO/Indian National Tuberculosis Programme model into Sri Lanka, using WHO advisers, the NWP pilot, and CNAPT debates.
Limitations
This is a policy-transfer history, not a modern incidence study. It does not re-run the Madras trials or score today’s Sri Lankan TB programme.
How this study connects
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