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Report of the Meeting Infection control Pilot three components of IC in 35 provincial hospitals Expand IC to more provincial hospitals M&E: Monitoring and evaluation Develop and utilize national M&E plan at national, regional and provincial levels including other TB stakeholders (TA from STOP TB Partnership and WHO needed) Revise existing electronic data management software (current SMART TB programme) by NHSO Conduct training on Management of Information for Action (MIFA) for regional TB coordinators and other partners Re-estimate burden of MDR- TB, TB/HIV and paediatric TB; prevalence survey in 2011 (TA needed from WHO) TB/HIV: Collaborative activities Strengthen collaborative mechanisms between HIV-TB at national, subnationaland provincial levels 120 Training done in 35 hospitals; curriculum for nursing colleges; in depth baseline follow up assessments at 6 hospitals. National M&E plan developed together with partners and being utilized at all levels; M&E plan for GF projects is part of integrated national plan. Software revision just completed. Multiple electronic systems evaluated. Further strengthening in original 35 hospitals; expand to cover 45 hospitals Operational research to be initiated on efficacy of standard TB IC intervention package (2country study with Vietnam) Integrate NTP activities through the Royal projects. Capacity building of staff on M&E at national and regional level Build single data hub to link multiple current electronic data systems. MDR TB electronic case reporting will be implemented. Training completed. On-going supervision/monitoring to assess whether regional staff have retained skills and are using them. Retrospective chart review studies done of MDR TB and paediatric TB cases. Prevalence survey delayed to start 2012. Known HIV status in TB patients now above 90%, special studies not needed. Mechanisms are in place but need revitalization Conduct prevalence survey 2012. Conduct DRS 2012 Revitalize collaborative mechanisms between HIV-TB at national, sub-national and provincial levels
Strengthen collaborative mechanisms Revise and distribute PITC handbooks to all service providers including private hospitals Develop training curricula for providing ART for TB/HIV patients Distribute HIV/TB ICF handbook to all health facilities MDR-TB: Prevention and control of multidrug-resistant TB Submit GLC application for three MDR-TB pilot sites Provide second-line drugs to selected vulnerable populations like migrants Expand MDR-TB pilot site across the country National TB Control Programme Managers and Partners Done. HIV testing in TB > 90% To be reviewed in 2014 Draft curriculum developed. Revise and complete curriculum, including new recommendations and targets Completed and distributed. Review and revise in accordance with WHO 2011 ICF guidelines Revise national guidelines for TB/HIV in light of new global guidance in past year. Completed and approved and initiated. Expand new MDR TB treatment model to 15 sites Applied for under Global Fund. To start in 2012 in 15 approved sites Expansion proceeding in 2012 Complete expansion and strengthening of 15 sites. Provide clinical consultation to expansion sites Develop 5-yr strategic plan for MDR-TB; further new actions for 2012-2013 to be determined in 5-yr plan. 121
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SEA-TB-339 Distribution: General Na
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Contents Abbreviations.............
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Report of the Meeting vi IC infecti
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1. Introduction The South East Asia
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2. Inaugural session National TB Co
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National TB Control Programme Manag
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(2) Early and higher case detection
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Country perspective: Bangladesh Nat
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Number National TB Control Programm
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Country National TB Control Program
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(6) Quality assured anti-TB medicin
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Health systems building blocks Huma
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4. Policy National TB Control Progr
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Need to strengthen Regional focal p
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TB CARE II core activities: Nationa
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6. Group work National TB Control P
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Page 79 and 80: Health Systems Strengthening TBTEAM
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Page 89 and 90: Establish cross-referral with other
Page 93 and 94: Infection control Implement existi
Page 95 and 96: Provide training on newer diagnosti
Page 97 and 98: TB/HIV: Collaborative activities E
Page 101 and 102: d LED FM microscope s in 200 medic
Page 103 and 104: Health system strengthening Streng
Page 105 and 106: Establish culture and first-line DS
Page 107 and 108: TB/HIV: Collaborative activities E
Page 111 and 112: ACSM: Advocacy, communication and s
Page 115 and 116: Form TB Team (tasks committee) to d
Page 119 and 120: Undertake a prevalence survey (TA n
Page 123 and 124: Transfer funds directly to GDF; reg
Page 125 and 126: Operational research Undertake OR
Page 127 and 128: Review and establish procedures in
Page 129: management more flexibility in proc
Page 133 and 134: ACSM: Advocacy, communication and s
Page 135 and 136: 6 December 2011 0830- 0900 Registra
Page 137 and 138: 8 December 2011 Session 6: Cross-cu
Page 139 and 140: Myanmar Dr Thandar Lwin (Ms) Deputy
Page 141 and 142: Dr Shayla Islam Programme Specialis
Page 143: Report of the Meeting Ms Nigorsulto
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