Neftaly: Strengthening the D-TSR Strategy through Timely Detection, Diagnosis, and Complete Treatment
The Directly Observed Treatment Short-course (D-TSR) strategy is pivotal in the fight against tuberculosis (TB), ensuring patients receive timely diagnosis, adhere to complete treatment, and achieve successful outcomes. Strengthening the actions of the D-TSR strategy is essential to control TB transmission and reduce morbidity and mortality.
Neftaly (South African Youth Project) is dedicated to enhancing the effectiveness of the D-TSR strategy by promoting timely case detection, accurate diagnosis, and ensuring treatment completion and appropriate response to TB cases.
Program Goal
To strengthen the implementation of the D-TSR strategy by improving timely TB detection and diagnosis, ensuring complete treatment adherence, and providing effective case management and response.
Strategic Objectives
- Enhance early detection and prompt diagnosis of TB cases at all levels of care.
- Support patients to complete the full course of treatment through supervision and adherence support.
- Improve case follow-up and response mechanisms to manage treatment outcomes and prevent drug resistance.
- Strengthen health worker capacity and community engagement in the D-TSR process.
Key Intervention Areas
1. Timely Detection and Diagnosis
- Implement active case finding and screening in high-risk populations.
- Ensure access to rapid and accurate diagnostic tools.
2. Treatment Adherence and Completion
- Strengthen directly observed therapy (DOT) support through community health workers and peer networks.
- Provide counseling and social support to address barriers to adherence.
3. Case Management and Response
- Monitor treatment progress and manage adverse events promptly.
- Conduct contact tracing and community-based follow-up.
4. Capacity Building and Community Engagement
- Train healthcare providers on D-TSR protocols and patient-centered care.
- Involve communities to raise awareness and support TB patients.
Expected Outcomes
- Increased rates of early TB case detection and accurate diagnosis.
- Higher treatment completion rates and reduced defaulting.
- Effective management of treatment responses and reduction of drug-resistant TB.
- Strengthened community participation and support in TB care.
Why It Matters
Effective implementation of the D-TSR strategy is critical to breaking the chain of TB transmission and ensuring patients are cured. Neftaly’s efforts ensure timely detection, adherence to treatment, and comprehensive response to every TB case.
Partner with Neftaly
Neftaly collaborates with national TB programs, health workers, and communities to strengthen the D-TSR strategy and accelerate TB control.


