'Reservoir of infection' or 'fount of knowledge'? Forging equal partnerships and shifting power to address LTBI

摘要

IN THIS ISSUE of the IJTLD, Berrocal-Almanza et al. grapple with the needs and expectations of community organizations recruited to help boost treatment for latent tuberculous infection (LTBI).1 Engaging users in health programme planning has now become a legal or donor requirement. Berrocal-Almanza et al. show that overtures toward affected communities are sometimes perceived as half-hearted or instrumental, particularly when community-based organizations are used only as sources of referrals or tools to fill gaps in otherwise inflexible services. Although it has long been understood that marginalised, criminalised and stigmatised communities are key to tuberculosis (TB) elimination, adapting public health services to the specific needs of these communities has lagged (and ceding any real power has been even more reluctant).