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/
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