The unified clinical protocol of primary, secondary (specialized) and tertiary (highly specialized) medical care “Tuberculosis” provides the possibility to hand over the drugs to a patient for a term of up to 10 days in case of very positive attitude to treatment (page 17). Handing over drugs to a patient contradicts the definition of DOT services according to WHO (WHO: Implementing WHO Stop TB Strategy: a handbook for national tuberculosis control programmes. 2008 (page 32). Within the framework of the Global Fund grant, in 2011 the project was launched on social support to TB patients with a risk of treatment interruption (10% of general number of TB patients of category 1-3). The project is being implemented by the Ukrainian Red Cross Society.
5. DOT should be carried out for all patients, in hospitals as well ambulatory, to prevent the development of MDR-TB.