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OVERVIEW OF TB PROGRAMME 2006. Dr. Frank Bonsu Central TB Unit, Korle-Bu. Presentation Outline. Current Interventions Coverage Performances Challenges Way Forward. Current Interventions. Scaling up DOTS quality expansion programme PPM DOTS TB/HIV Collaborative activities
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OVERVIEW OF TB PROGRAMME 2006 Dr. Frank Bonsu Central TB Unit, Korle-Bu
Presentation Outline • Current Interventions • Coverage Performances • Challenges • Way Forward
Current Interventions Scaling up • DOTS quality expansion programme • PPM DOTS • TB/HIV Collaborative activities • Community based TB Care • TB in prisons • Advocacy , communication, social mobilization
Priority Activities for 2006 • Build capacity at all levels • Intensify and support monitoring, supervision and evaluation system for the TB programme • Establish system of case holding and defaulter tracing with active community participation. • Provide infrastructure for supervised treatment in some district hospitals. • Integrate TB and HIV prevention, care and support activities • Promote behavioural change communication to support TB control
Key Challenges • Data quality and management needs to be improved Limited coverage of existing public health infrastructure, contributing to low access to TB services • Low case detection • National: 12,220 cases (57/100,000 pop) • Regional: NR-12/100,000; UWR-28/100,000 pop) • Management of TB/HIV co-infection Insufficient human capacity of both numbers & skills to implement DOTS • Logistics management • Drug shortages • Sputum containers
NTP Strategic Plan 2007-2011 • External review of NTP by WHO, USAID,QHP,GHS/MOH just completed • Key findings will inform developing next strategic plan
Way Forward Main activities for 2007 • Improve infrastructure and develop facilities (building, equipment, transport) • Strengthen programme management (HR-hiring & dev’t, TA, logistics, publications) • Roll out of TB/HIV activities • Training: CBTC, TB/HIV, Prisons, ACSM etc • Improve M&E – technical support visits • Procure and distribute supplies and logistics (drugs, diagnostics, stationery) • Strengthen laboratory network and quality assurance • Prepare for DOTS plus programme • Conduct operational research (MDR, TB/HIV, etc)