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To reduce prevalence and mortality

from TB by half by the year 2015.

1. Cure at least 85 percent of the sputumsmear positive TB patient discovered.

2. Detect at least 70 percent of theestimated new sputum smear positive TB

cases.

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A. Improve access to and quality of services provided toTB patients, TB symptomatics, and communities byhealth care institutions and providers.

1. Enhance quality of TB diagnosis2. Ensure TB patient treatment compliance3. Ensure public and private health care providers

adherence to the implementation of nationalstandard of care for TB patients.

4. Improve access to services through innovativeservice delivery mechanisms for patients living inchallenging areas.

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B. Enhance the health seeking behavior on

TB by communities especially TB

symptomatics.

1. Develop effective, appropriate and

culturally responsiveIEC/Communication materials.

2. Organize barangay advocacy groups.

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C. Increase and sustain support and financingfor TB control activities.

1. Facilitate implementation of TB-DOTScenter certification and accreditation.

2. Build TB coalitions among different sectors.

3. Advocate for counterpart input from localgovernment units.

4. Mobilize/extend other resources to addressprogram limitations.

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D. Strengthen management of TB control services at alllevels.

1. Enhance manegerial capability of all NTP programmanagers at all levels.2. Establish an efficient data management system for

all public and private sectors.3. Implement a standardized recording and reporting

system.4. Conduct regular monitoring and evaluation at all

levels.5. Advocate for political support through effective

local governance.

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A. Findings

Direct sputum smear Microscopy

(DSSM) shall be the primary tool in NTPfinding.

B. Treatment

Treatment of all TB cases shall be

based on a reliable diagnostictechnique namely, DSSM.

Domiciliary treatment shall be thepreferred mode of care.

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C. Patients with the following conditions shall

be recommended for hospitalization:

1. Massive hemoptysis

2. Pleural effusion obliterating morethan

one-half of a lung field.3. Milliary TB

4. TB meningitis

5. TB pneumonia6. Those requiring surgical intervention or

with complications.

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D. All patients undergoing treatment shall besupervised. No patient shall initiate treatmentunless the patient and DOTS facility staff haveagreed upon a case holding mechanism fortreatment compliance.

E. The national and local government shall ensureprovision of drug to all smear-positive TB cases.

The two formulation of drugs:1. Fixed Dose Combination- two or more first line

anti TB drugs are combined in one tablet.There are 2, 3 or 4 drug fixed dose

combinations.2. Single Drug Formulation- each drug is

prepared individually. INH, ethambutol andpyrazinamide are in tablet form whilerifampicin is in capsule form.

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F. Quality of FDCs must be ensured. It must

be ordered from a source with a track

record of producing FDC according toWHO-prescribed strength and standardof quality.

G. Treatment shall be based on

recommended category of treatment

regimen.

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Sustained political commitment Access to quality-assured sputum

microscopy Standardized short-course chemotherapy

for all cases of TB under proper casemanagement conditions, including directobservation of treatment

Uninterrupted supply of quality-assured

drugs Recording and reporting system enabling

outcome assessment of overall programperformance

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Together with other NTP staff/workers,

manage the procedures for case-finding

activities. Assign and supervise a treatment partner

for patient who will undergo DOTS.

Supervise rural health midwives (RHMs) toensure proper implementation of DOTS.

Maintain and update the TB Register.

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Facilitate requisition and distribution of

drugs and other NTP supplies.

Provide continuous health education to

all TB patients placed under treatment

and encourage family and community

participation in TB control. In coordination with the physician,

conduct training of all health workers.

Prepare, analyze and submit thequarterly reports to the Provincial Health

Office or City Health Office.

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Prevention

Casefinding

Caseholding and Treatment

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Interview and Open treatment cards for

identified tuberculous children

Perform tuberculin testing and reading toeligible children

Maintain NTP records

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Manage requisition and distribution of

drugs

Assist the physician in supervising theother health workers of the RHU in the

proper implementation of the policies

and guidelines on TB in children Assist in the training of other health

workers on Tubercullin testing and

reading.