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CAP-TB Thailand and Regional. Rayong Province Strengthening the TB network. Rayong: FY14 A ctivities. Rayong Provincial Hospital : MDR-TB expert physicians MDR-TB case conferences M ulti-disciplinary teams for MDR-TB care Hospital call center
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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?
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.
Strategy: combining partner and prime/funder priorities Prime/Funder Partner
CAP-TB Knowledge Gateway Burmese Chinese 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?)