There is growing recognition that merely increasing DOTS coverage has not had a big impact on the TB epidemic. In the era of the End TB Strategy, we need to think beyond coverage and start focusing on the quality of TB care that is routinely offered to patients in high burden countries, in both public and private sectors. Available evidence, including simulated patient studies by our team in 3 countries, clearly shows that quality of TB care in both the public and private sectors falls short of international standards in many high burden countries. National TB programs will therefore need to systematically measure and improve quality of TB care, and invest in quality improvement (QI) programs. QuTUB is an international team of researchers working to advance methodologies to measure and improve quality of TB care, and to support QI programs in TB. |