CAP-TBThailand and Regional

Rayong Province Strengthening the TB network

Rayong: FY14 Activities

• Rayong Provincial Hospital: – MDR-TB expert physicians– MDR-TB case conferences– Multi-disciplinary teams for MDR-TB care– Hospital call center

• MDR-TB DOTS: transition from NCCM to RPHO/district level staff– Analyze successes of NCCM DOTS strategy to develop

protocol/guide for successful MDR-TB DOTS

Rayong: FY14 Activities

• Rayong Provincial Hospital: – GeneXpert diagnosis: province to assume costs

for GeneXpert cartridges

• Active case finding and screening– Effectiveness and impact of DM/PLHIV/community

screening?– Migrant population: consider Burmese

community?

Rayong: Current Funding Sources National Health Security Office (NHSO) 1. Active case finding/screening among at-risk populations and

close contacts of TB/MDR-TB patients2. Directly-observed therapy (DOT) by trained personnel for

TB/MDR-TB patients

Global Fund – to be ended in September 2014

1. DOTS in all communities in three districts in Rayong Province2. Facilitate TB/HIV activities3. Empower community in TB prevention and control4. Provide living support to patients

Rayong Province Strengthening the TB network

Building a provincial model for TB/MDR-TB decentralization in Rayong:

Strengthening provincial, district, sub-district, and community levels of TB network

Thailand: Bureau of Tuberculosis

• Support BTB to develop infrastructure for national MDR-TB decentralization – On-line “help desk” – Triage queries from around the country to specific experts

(clinical niche and geography)– Track and monitor queries over time

• Coordinate with other organizations working on cross-border migrant TB/MDR-TB: IOM, WHO, CDC, etc.– Health policy: advocacy with labor organizations, police, etc.

CAP-TBRegional Strategy

Capacity Development

Strategy: combining partner and prime/funder priorities

Partner Prime/Funder

External communications

Project performance management

Organization management

Finance

Project performance management

Organization management

CAP-TB Social Media

CAP-TB Knowledge

Gateway

News TB InsightsResourcese-learning

CAP-TB Knowledge

Gateway

BurmeseChinese

Thai

Regional Strategies and Activities

• Cross-border migrant population– Expand upon this over FY14-FY16?– Relevant priority given timing of ASEAN, location of

Thailand/Myanmar/China

• Research activities– Health economics and gender studies– 9-month regimen: potential national expansion to

other provinces in China (project support through TA?)