The Philippines’ National Tuberculosis Program (NTP) For the Innovative TB Control Strategies to Reach the Goal of TB Elimination by 2035 National Taiwan University Hospital International Convention Center Taipei, Taiwan - March 14, 2015
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ROSALIND G. VIANZON, MD, MPH Infectious Disease Prevention and Control Division DPCB, Department of Health, Manila
+Strategies to Control TB - Internationally Timeline
Activity
Description
1991
World Health Assembly (WHA) resolution recognized TB as a major global public health problem
70% Case Detection rate of New Smear Positive 85% Cure rate * by year 2000
1994
DOTS Strategy was launched
5 elements
20012005
First Global Plan to Stop TB
Increased political commitment: 2000- Amsterdam Declaration, 2001 – Washington Commitment to Stop TB, 2004 -Stop TB Partner’s Forum in Delhi
2005
WHA resolution advocating for sustainable financing for TB control and prevention
20062015
Second Global Plan to Stop TB – STOP TB Strategy
6 components – pursue high-quality DOTS expansion & enhancement, address TB-HIV, MDR-TB & other challenges, contribute to HSS, engage all care providers, empower people with TB, & c ommunities, enable enable & promote promote research research communities,
2014
Post-MDG Strategy Strateg gy
Strategy End TB Strateg gy
World Health Assembly 2014 At the 67th World Health Assembly, Member States adopted the new post2015 Global TB strategy and targets, and related resolution on 19 May 2014
Post-2015 Global TB Strategy
+Pillars and Principles Integrated, patientcentered TB care and prevention
Bold policies and supportive systems
Intensified research and innovation
+ Country Profile
Luzon
Visayas
about 7,100 islands
17 administrative regions
91 provinces
109 cities
2,500 municipalities
3,200 barangays
Mindanao
DOH – DPCB (NTP)
• Formulate policies and guidelines • Provide technical assistance • Provide drugs/laboratory supplies
16 Regional Health Offices & ARMM
• Monitor and evaluate implementation • Monitor and supervise implementation
83 Provincial/129 City Health Offices
2,500 Rural Health Units (DOTS Facilities)
Barangay Health Stations
• Distribute drugs/supplies to the city/mun • QA Centers • Manage TB patients • Store anti TB drugs • Microscopy services
• Identify TB symptomatics • Do DOT
+Strategies to Control TB - Philippines Timeline
Activity
Description
1997 - DOTS Strategy 70% Case Detection Rate of New Smear Positive 2002 ( plus Scale-up) 85% Cure rate 5 elements 2002 - Public-Private 2006 Partnerships
DOTS beyond public sector – Private sector DOTS beyond general population – Vulnerable groups DOTS health center workers – Communities
20062010
National Strategic Plan to Control TB (8 Strategies)
Reduce the prevalence & mortality by half by 2010 contributing to the achievement of the MDGs
PhilPACT
8 strategies
20102016
≥2016 Still for planning – conduct of NTPS in 2015
+ Vision
TB FREE Philippines 1 active case per 1M population
MDGoals
2010 2015 2020
5
Prevalence rate 500/100,000 Death rate 29/100,000
2030
2040
2050
+ Philippines in 2012 Prevalence
Mortality 55 1,000
461
24
Incidence rate 399 265
48 4
Program Indicators + CDR, All forms
CDR, New Sm+
Cure Rate
Success Rate
100
80
60
CDR = 70 to 85 TSR = 85 to 90 40
20
0 2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
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+ Progress towards 2015 targets set within the MDG framework
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+ Philippines * low TB HIV burden *