Еthics Guidance for the implementation of the end TB strategy

ЕTHICS GUIDANCE 

FOR THE IMPLEMENTATION OF THE END TB STRATEGY  

Contents

Foreword  iv

Acknowledgements v

Abbreviations and acronyms vii

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . .viii

Methods ix

Overarching goals and values . . . . . . . . . . . . . . . . . . .1

1. Ending TB as a matter of social justice . . . . . . . . . . . . . . . . . . . 1

2. Ethics and human rights: key foundations of the End TB Strategy . . . . . 2

3. Guiding principles and values to help end TB . . . . . . . . . . . . . . 5

4. The obligation to provide access to TB services . . . . . . . . . . . . . 7

Section one – Integrated, patient-centred care and prevention . .11

5. Education, counselling and the role of consent . . . . . . . . . . . . . 11

6. Diagnosis in the absence of treatment services . . . . . . . . . . . . . 15

7. Addressing latent TB infection . . . . . . . . . . . . . . . . . . . . .16

8. Supporting patients to adhere to treatment and other health care

recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . .18

9. Patient treatment and care when recommended TB treatment

regimens are not feasible . . . . . . . . . . . . . . . . . . . . . . .23

10. Palliative and end-of-life care . . . . . . . . . . . . . . . . . . . . .25

11. Children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

12. Prisoners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

13. Migrants

Section two – Bold policies and supportive systems

14. Infection prevention and control . . . . . . . . . . . . . . . . . . . 34

15. Isolation and involuntary isolation . . . . . . . . . . . . . . . . . . 35

16. Screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

17. Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

18. Compassionate use and expanded access to TB drugs . . . . . . . . .41

19. Health care workers’ rights and responsibilities . . . . . . . . . . . . 42

Section three – Research and emerging technologies 45

20. TB and health information technology . . . . . . . . . . . . . . . . .45

21. New frontiers in TB care and control . . . . . . . . . . . . . . . . . 48

22. Rapid sharing of data . . . . . . . . . . . . . . . . . . . . . . . .53

References 55

Bibliography

The text of Guidance is available by link http://apps.who.int/