This 7th edition of national guidelines on clinical and programmatic management of TB, DR-TB and
Leprosy presents the most updated guidance on management of Tuberculosis and Leprosy in
Ethiopia in accordance with the latest global recommendations.
Series of landmark global policy changes in TB, TB/HIV, DR-TB and leprosy prevention and care have
occurred recently necessitating the need for revision of national guidelines. Notably, new global
recommendations for the use of rapid diagnostics for TB and RR-TB, use of Chest X-Ray as TB
screening tool, new TB Preventive Therapy (TPT) regimens, RR/MDR-TB Treatment regimen
changes including the recommendations for the use of an all-oral Bdq-containing RR/MDR-TB
Shorter Regimen, BPaL Regimen for XDR-TB (a novel Fully oral STR under OR conditions) and others
are remarkable. These and other updates are reflected in this 7th edition. The programmatic areas explain aspects of TBL program and service organization, coordination and management, definition of terms and registration and guidance on TBL recording and reporting system. It also highlights on the TBL commodity supply system in the country. Strategies to engage all relevant stakeholders and empowering the community ownership is included with aim of equitable access to quality TB services.
The clinical sections, on the other hand, present the latest recommendations on TB and Leprosy case
finding strategies approaches for patient evaluation and use of appropriate diagnostics in the
national TB diagnostic algorithms. It as well presents details of treatment of patients with TB, DR-TB
and leprosy as well as monitoring of response during treatment.
