+Strategies to Control TB - Internationally. The Philippines National Tuberculosis Program (NTP) ROSALIND G. VIANZON, MD, MPH

The Philippines’ National Tuberculosis Program (NTP) For the Innovative TB Control Strategies to Reach the Goal of TB Elimination by 2035 National Tai...
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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 *

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