Their argument was that it was professionally ethical for a health worker to accept to work on categories of patients without prejudice and discrimination. I accepted to come here because I have been trained to provide health care to all those who need it, regardless cause of their condition. There was no reason for me to refuse posting to the DOTS centre (DOTS Centre Nurse, Region 2, Public Hospital). The enablers�� package An enablers�� package include a wide range of services such as travel vouchers, reimbursement, cash payments, toiletries, clothing, cell phone minutes, food during DOT visits, vouchers, periodic food packages; social welfare payments during treatment; income generation project; salary payments, legal services, housing or housing subsidies, personalised incentives or ��bait for fishermen�� (providing other payments to community or patients who bring suspects for treatment) [27].

Cash payments or travel vouchers (both staff and clients), food supplements/packages and social welfare payments are some of the popular Inhibitors,Modulators,Libraries enablers�� support in Ghana. One respondent described how she felt about the enablers�� package in the following extract: Among the poorest of clients, they were given transportation, beverages and then home support visit �� The enablers�� package was an encouragement factor; people came Inhibitors,Modulators,Libraries because their relations had told them to do so due to enablers��. This pushed people with chest/lung ailments Inhibitors,Modulators,Libraries to come on their own accord due to that small token. The enablers package also covered travel vouchers for health workers and this, according some respondents, it facilitated home verification, etc.

Public-private partnership Public-private partnership (PPP) for TB control is important of its effects on bridging access gaps [28]. A section of the respondents felt that the PPP has made modest contributions to TB control in Ghana, although there is no disaggregated data on TB treatment outcome by type Inhibitors,Modulators,Libraries of facility [19]. In the view of the respondents, the PPP approach has the potential of improving access. A respondent in one of the regions where the PPP was piloted had this to say: It worked well in the few places where it was first started. We are able to manage many patients who could have been lost to follow-up, given that there are only five public hospitals in this metropolis Inhibitors,Modulators,Libraries providing DOTS services.

At one point, we were recording no defaulters because almost every available private facility was involved in DOTS, even maternity homes (Coordinator, Region 2). Discussion This paper has offered some insights about TB treatment outcomes Anacetrapib in Ghana between 1997 and 2010. Coupled with that, attempts have been made to explore the views of key personnel involved in TB control about the possible patient and health system-based factors which have played important roles in achieving the current treatment outcomes.