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TB Control in PHC network and Partners Coordination in Cambodia

TB Control in PHC network and Partners Coordination in Cambodia. Second Stop TB Partners’Forum New Delhi 24/03/04 Dr. Mao Tan Eang Director National Center for TB and Leprosy Control (CENAT). I. Burden of TB in Cambodia. TB is a priority disease of MoH

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TB Control in PHC network and Partners Coordination in Cambodia

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  1. TB Control in PHC network and Partners Coordination in Cambodia Second Stop TB Partners’Forum New Delhi 24/03/04Dr. Mao Tan Eang Director National Center for TB and Leprosy Control (CENAT)

  2. I. Burden of TB in Cambodia • TB is a priority disease of MoH • High burden country among 22 in the world • High incidence and prevalence - Incidence rate of Sm+ TB (BK+) : 242/100,000 pop. - Incidence rate of all forms : 549/100,000 pop. • Death rate : 107/100,000 pop. HIV among TB patients: also high:12 % in 2003 • TB cases: still in increasing trend in the coming years

  3. II. Goals and Objectives of NTP • To improve health by reducing morbidity and mortality due to TB, contributing to poverty reduction in Cambodia • By 2005: - TB services at all (Minimum Package of Activities) MPA Health Centers - Case detection rate of smear + cases: 70% - Cure rate of smear + cases: > 85 % • By 2015 MDG: - Reduce prevalence and death by 65-70%

  4. Before the reform(1995) 4 Levels: Central, Province, Disrict & Commune Based on administrative criteria Facilities: - Central MoH, Centers and Institutions - 8 Nat. Hosp. - 27 Prov. Hosp. - 164 Dist. Hosp. - 1267 Commune clinics After the reform New Health System: 3 Levels: Central, Province,Operational District (OD) Based on population & geography : Health Coverage Plan73 ODs Planned Facilities: - Central MoH, Centers and Institutions - 8 Nat. Hosp.(TB Center,3 TB units) - 24 Prov.Referral Hosp.(24TB units) - 45 Dist. Referral Hosp. (45TB units) - 945 Health Centers(73TB units& 706 HC with DOTS services) III.Health System/ PHC

  5. IV. Major Achievements of NTP • DOTS Expansion within the PHC system(145 TB units + 706 HCs) • Policies & Strategies for TB Control 2001-2005 • Strategic Plan for TB Control 2001-2005 • TB Multi-Drug Resistance Survey • TB Prevalence Survey • TB/HIV Service • Inter-agency Coordination Committee for TB Control (ICC) • Case detection rate : ~60 % in 2003 • Cure rate : 89 %

  6. V.Involvement of Partners/NGOs • Advocacy: policy disemination • Establishment and functioning of ICC • About 100 NGOsIOs working for health sector • After ICC, more partners coming in for TB control, now around 15 partners/NGOs

  7. Thank YouVery Much

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