The Mexican Experience ACSM Subgroup meeting Cancun Mexico November 30 th , 2009
Engaging all care providers to Stop TB: Global progress How have we responded to the recommendations...
-
Upload
beverley-ford -
Category
Documents
-
view
215 -
download
0
Transcript of Engaging all care providers to Stop TB: Global progress How have we responded to the recommendations...
Engaging all care providers to Stop TB: Global progress
How have we responded to the How have we responded to the recommendations of the 4recommendations of the 4thth PPM Subgroup PPM Subgroup
meeting?meeting?
55thth PPM Subgroup Meeting, WHO/EMRO, Cairo, Egypt PPM Subgroup Meeting, WHO/EMRO, Cairo, Egypt
3 June 20083 June 2008
PPM Subgroup Secretariat
Recommendation 1:
Coordinate with partnersto implement recommendations
• Core Group consultations at Union conferences and Subgroup meetings
• TB CAP: Projects development and collaborative implementation (IR3 – APA:1-3; 4)
• Potentially, through TBTEAM mechanism
Recommendation 2:
Promote PPM guidance and tools
• Thirteen countries have developed PPM guidelines
• National situation assessments undertaken in 11 countries from AFR and EMR
• PPM operational planning workshop for 11 countries in AFR and EMR
• Spanish translation of the guidance document under print, French translation under way.
• Largely driven by ATS in collaboration with partners
• Endorsements obtained and translated widely
• Pilots in India, Indonesia, Kenya, Mexico, Tanzania
• User guide and training modules developed
• Revision under way
Recommendation 3:
Promote International Standards for TB Care
Recommendation 4:
Prepare guidance on involving hospitals in TB control
• Process led by KNCV
• Preliminary draft developed
• Shared and discussed in a multi-country workshop in 2007
• Draft revised based on feedback and input
• To be discussed in this meeting
Recommendation 5:
Conduct training on PPM at various levels
• 3rd PPM international consultants training course, Sondalo, Italy, April 08
• Regional training course for 9 countries in WPR; preparation on for a training course for Francophone countries
• Country specific courses / workshops: preparation on for a workshop for NGOs in India
• PPM incorporated into international courses on TB: Sondalo; RIT
Recommendation 6:
Provide technical support to countries for PPM
• AFR: Malawi, Nigeria, Ghana
• AMR: Mexico• EMR:
Pakistan• SEAR:
Bangladesh, India,Indonesia, Nepal
• WPR: China, Philippines,Vietnam
Recommendation 7:
Help develop guidance on PPM for TB/HIV
• Literature review
• PPM TB/HIV consultations
• PPM TB/HIV draft protocol for piloting
• Union to pilot in India and Namibia
• Protocol to be made available on the web
• Technical support available
Recommendation 8:
Link with MDR-TB Working Group and Laboratory Subgroup
• Joint Group on PPM MDR-TB proposed
• Links with the Lab Subgroup established
• Working examples of PPM Labs yet to be studied (India, Iran)
• Collaboration with FIND on private laboratories engagement on Uganda
Recommendation 9:
Document and develop strategies to involve informal providers
• Partly supported through TB CAP project
• Literature review • Documentation in Burkina
Faso and Gambia
• Documentation in more countries planned
• Intervention project planned in Gambia
Recommendation 10:
Enhance efforts to engage corporate sector
• Literature review undertaken
• Country examples documented: Bangladesh, Philippines; more planned (Kenya, South Africa, Brazil ?, India ?)
• Multi-agency Task Force set up: UNAIDS, ILO, WEF, WHO- Occupational Health, Stop TB Partnership
• Company self-assessment tool developed and piloted
• Joint Consultation with countries and business sector planned
Recommendation 11: Pursue operational research agenda
• India: Scale up
documentation
• India: Economic analysis of scale up
• TB CAP Projects: – Informal providers – Corporate sector– PPM TB/HIV
Recommendation 12:
Collaborate with and learn from other health programmes
• WHO Technical Brief on private sector
• PPM Malaria
• Sharing of experiences
• Reproductive health
• WHO working group on contracting
• Journal editorials and articles and
book chapter
Recommendation 13:
Develop and use a knowledge management strategy
• PPM Web Site • Web Learning
Laboratory
Recommendation 14:
Strengthen advocacy efforts
• PPM Brochure updated
• PPM Website maintained
Expectations from PPM: Global Plan 2006-2015
0
1000
2000
3000
4000
5000
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Pop
ulat
ion
to b
e co
vere
d (m
illio
ns)
0
10
20
30
40
50
60
70
80
90
100
Pro
port
ion
of p
opul
atio
n co
vere
d (%
)
PPM
CommunityDOTS
PAL
Qualityassuredculture andDST
Proportion of BMUs with PPMin place: top 5 high burden countries, 2007
97 100
53
1
100
0
20
40
60
80
100
India China Indonesia Nigeria Bangladesh
PPM resources and progress in 22 HBCs : 2007
1210
8
1314
0
5
10
15
20
NationalPPM Focal
Person
PPMGuidelines
Scaling Up GF Supportfor PPM
TrainingMaterial for
PPM
What precisely is the contribution of PPMto Global TB control?
?
Key issues before this meeting
• Linking hospitals Linking hospitals
• Engaging professional associationsEngaging professional associations
• Involving business sectorInvolving business sector
• PPM for MDR-TB and TB/HIV working groupsPPM for MDR-TB and TB/HIV working groups
• Tapping new opportunities and resourcesTapping new opportunities and resources
• Measuring PPM contributions Measuring PPM contributions