South Africa’s move to decentralize the treatment of drug-resistant tuberculosis (TB) has given rise to a crop of nurses equipped not only to initiate patients on HIV treatment, but also to prescribe for and monitor drug-resistant TB (DR-TB) patients...

In Khayelitsha township, outside Cape Town, the international humanitarian organization,Doctors Without Borders (MSF), began a pilot project which found that initiating MDR-TB patients at clinics led to an almost 70 percent increase in the number of patients started on treatment between 2007 and 2010, according to research presented by MSF's Jennifer Hughes. The decentralized model allowed patients to access MDR-TB treatment almost 30 days earlier than in the hospital-based system...

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