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DOTS Expansion Working Group plan Leopold Blanc TBS, Stop TB Communicable Diseases

The DOTS Expansion Working Group plan outlines strategies to enhance tuberculosis control efforts globally. The plan aims to expand DOTS implementation, involve communities, and mobilize resources. Achievements and targets are detailed across various regions and countries.

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DOTS Expansion Working Group plan Leopold Blanc TBS, Stop TB Communicable Diseases

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  1. DOTS Expansion Working Group planLeopold BlancTBS, Stop TBCommunicable Diseases Second DOTS Expansion Working Group Meeting31 October 2001 Paris, France

  2. Background • Following Amsterdam: • WHA 2000: HBC request WHO assistance • International partners express readiness to contribute as part of strategic, co-ordinated plan • Development of GDEP Cairo November 2000 • 22 HBC to develop 5 year plans • 6 WHO regions strategic plans • Identification of financial requirements • Establishment of Stop TB DOTS Expansion Working Group

  3. Purpose of the DEWG • To agree on a framework to plan, expand and sustain support to tuberculosis control efforts • To advise international technical agencies on how to assist Member States in planning DOTS expansion and establish partnership • To monitor and evaluate progress in DOTS expansion • To identify and mobilise resources for DOTS expansion.

  4. Objectives of the DEWG Ensure that by 2005 inall countries • comprehensive TB control using DOTS strategy is implemented and sustained • TB control efforts are included in and contribute to health sector and poverty reduction strategy • community is involved in the control of TB • private medical sector and other sector contribute in TB control

  5. 2005 70% 85% all countries all countries all countries all personnel all countries DOTS areas Targets of the DEWG Targets DOTS expansion - detection - treatment Govt commit. - TB control policy - Human/financial Planning - National DEP - Capacity DOTS Implementation - Ref laboratory - Drug proc/distrib 2001 35% 85% 22 HBC 10 HBC 22 HBC DOTS areas 11 HBC DOTS areas 2003 50% 85% all regional all HBC all countries DOTS areas all HBC DOTS areas

  6. 2005 all countries all HBC all countries all countries most HIncC few countries Targets of the DEWG Targets Monit./surv. -WHO indicators - DRS established HS development -TB as performance - PP/community Op Research - National capacity - Integrated care 2001 all HBC 5 HBC 10 HBC 10 HBC 10 HBC Pilot 2003 all countries 10 HBC all HBC all HBC all HBC Pilot

  7. Achievements: Mid-term planning status in 22 high-burden countries - Late 2001 7: Plans under development Nigeria, Brazil, Afghanistan, Russian federation, India, Thailand China 14: Complete Plans 1: No Plans Zimbabwe

  8. Achievements • Drugs: • secured in 15 HBC (2 with GDF: Myanmar and Kenya) • uncertain drug supply in 7 countries: - 2 with uncertainty: Mozambique and Zimbabwe - China: drug supply following DOTS expansion - 4 with pending application to GDF: Bangladesh, DR Congo, Nigeria, Pakistan • Funding: • Documented additional funding in 17 HBC - including pledges that will be implemented in 2002 - national additional funding: China, Philippines, Kenya…..

  9. Technical & financial partners identified for all 22 countries Russia: WHO USAID, CDC, DFID GTZ, PIH, OSI, WB Cambodia: JICA, WHO JATA/RIT, WB, USAID China: WHO KNCV, DFID, IUATLD, WB Philippines: WHO JICA, KNCV, CDC, CIDA, USAID, WB Vietnam: KNCV WHO, CDC, NL, WB i Afghanistan; WHO ICD, NOR, GLRA, MEDAIR Pakistan: WHO/IUATLD GLRA, WB, DFID, ICD Brazil: WHO/IUATLD GLRA, DFB, USAID Peru: WHO PIH, IUATLD, CDC, WB Bangladesh: WHO USAID, WBIndia: WHO DFID, DANIDA, CIDA, USAID, WB Indonesia: KNCV/ WHO, AUSAID, NL, ?WB Myanmar: IUATLD/WHO UNDP Thailand: WHO Ethiopia: KNCV/WHO WHO, NL, GLRA, IUATLD, WB DR Congo: IUATLD DFB, WHO Kenya: KNCV WHO, NL, CDC, WB Nigeria: WHO/IUATLD GLRA, DFB, NLR, WB S. Africa: IUATLD/WHO DFID, CDC, USAID, BEL, ?WB Tanzania: KNCV WHO, IUATLD, GLRA, SWISS, WB Uganda: WHO/IUATLD GLRA, LMI, ICD, DFID, WB Zimbabwe: WHO NL, DANIDA

  10. Budget 600,000 170,000 200,000 30,000 1,000,000 2002 plan of DEWG Activities Region: AG / ICC Monitoring/planning DEWG meeting DOTS exp. Report. WG operations Indicators Meetings GDEP pub. Meeting report pub. Resp WHO/Regio WHO/part. WHO/part WHO

  11. Budget 1,000,000 2,000,000 24,000,000 17,000,000 44,000,000 2002 plan of DEWG Activities Plan all countries regional priority NICC Capacity building Technical support Country support Indicators plans 12/02 visit DEWG NICC region priority Meeting DOTS coverage Resp WHO/part. WHO/part. WHO/part. WHO/part.

  12. 2002 plan of DEWG This is still a draft plan, we welcome your comments Secretariat of the working group: WHO

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