Tuberculosis (TB)

Practical Approach to Lung Health (PAL)


Implementation and impact

How to adapt PAL implementation?

  • The development and implementation of the PAL strategy need to be adapted to the regional and country health context.
  • PAL adaptation must take into account differences in epidemiological situations, population age structures, levels of economic development, and resources available within each level of health care.

What is the impact of PAL on TB control?

  • Secures and empowers TB control in epidemiological transition and/or when health system changes.
  • Improves TB case detection and the quality of TB diagnosis. Assists national health authorities with ongoing health sector reform, and keeps TB high on the agenda.
  • Provides information on TB detection within general health care services.

What is the impact of PAL on general health services?

  • Improves planning and health resource management.
  • Addresses the challenge of the burden of respiratory diseases in PHC through the provision of an essential health care delivery package.
  • Improves the health management information system.
  • Improves the referral system for respiratory conditions in general and TB in particular.
  • Strengthens PHC services to increase attendance by patients with respiratory symptoms.
  • Reduces the prescription of drugs in general and antibiotics in particular.
  • Strengthens the competence of PHC workers.
  • Strengthens the confidence of the population in PHC services.
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