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ACSM SG in 2009: Progress and Challenges. Dr Netty Kamp, Chair ACSM Subgroup 29 November 2009 . Highlights History ACSM working group (Country Level). Cancún 2003 Expert meeting, Johannesburg 2003 STB Task Force 1 st ACSM WG meeting Feb 2005 1 st ACSM Sub Group Country Level
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ACSM SG in 2009: Progress and Challenges Dr Netty Kamp, Chair ACSM Subgroup 29 November 2009
Highlights History ACSM working group (Country Level) • Cancún 2003 Expert meeting, Johannesburg 2003 STB Task Force • 1st ACSM WG meeting Feb 2005 • 1 st ACSM Sub Group Country Level • Preparation of Global Plan 2: Stop TB Strategy: 5th Component • Preparation of ACSM Framework • 2nd meeting Milano sept 2006 • 2008 McKinsey Evaluation
ACSM at Country Level(10 years Framework) Address 4 Key Challenges • Improving case detection and treatment adherence • Combating stigma and discrimination • Empowering people affected by TB • Mobilizing political commitment and resources for TB
Progress • 12 HBCshave developed and are implementing multisectoral, participatory ACSM initiatives. • 16 HBCs have conducted or will conduct Knowledge, Attitude and Practice (KAP) surveys to measure baseline for impact assessment and target ACSM activities. • 30 countries have established National Stop TB Partnerships or similar country coordination mechanisms to bring together all stakeholders in a concerted effort to fight TB. • Numerous NGOs and other non-HBCs implementing strategic ACSM and starting to document.
ACSM Subgroup Achievements • Collecting and documenting ACSM Best Practices. • Document on how to work with media for correct reporting of key TB messages to a wide audience. • Revised ACSM indicators in TB control questionnaire – for better annual collection of ACSM data from HBCs. • Set criteria for TBTEAM experts roster for ACSM TA providers to ensure quality and consistent TA of entire Component 5. • Revision of Subgroup Terms of Reference
Challenges • Still limited partnering with NGOs already implementing ACSM initiatives. Multiple players implementing ad-hoc activities in uncoordinated way, leading to duplication of same initiatives and missed opportunity for synergy. • Insufficient monitoring and evaluation for ACSM leading to lack of evidence of its impact on TB control indicators. • Need more meaningful involvement of affected communities in shaping the country-level response to TB. • Quality and consistency of Technical Assistance in Component 5. Need to build capacity of experts. • Limited engagement of Subgroup members. Hard to encourage people to submit best practices or activity update.