progress and plans for ppm in the eastern mediterranean region

Progress and plans for PPM in the

Eastern Mediterranean Region

Fifth PPM Subgroup Meeting

3 - 5 June, Cairo

Regional PPM Progress

• Out of 22 countries in the region, 6 countries started PPM systematically doing NSA, establishing task forces for PPM, designating PPM focal point at central level, and developing guidelines including task table.

• Other countries have sporadic PPM activities mainly in the public sector, prisons, health insurance and academia. 7 countries will start PPM systematically during 2008-09

Regional PPM Progress

• It was agreed in the region that all countries will submit quarterly report on case finding identifying the source of the patient (self, community, public, private, other)

Regional PPM Progress

Web based quarterly report

Quarterly report Q3 2007

PPM coverage chart

PPM activities in priority countries

Priority countries National Situation assessment conducted

PPM focal person appointed

PPM Operational guidelines developed

Afghanistan Done Yes Yes

Egypt Done Yes Yes

Lebanon NA Yes With in the NTP manual

Pakistan Done Yes Yes

Somalia Done Yes draft

Syria Done Yes draft

Sudan Draft Yes In progress

Yemen Done yes In progress

Afghanistan

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Yes Not yet

Informal providers Yes Not yet

Private laboratories Not yet Not yet

Egypt

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Yes Not yet

Hospitals Yes Not yet

Informal providers No Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

Lebanon

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Yes Not yet

Informal providers Yes Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

Pakistan

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Yes Not yet

Informal providers Yes Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

Somalia

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector NO Not yet

Hospitals Yes Not yet

Informal providers Yes Not yet

Private laboratories No Not yet

Private clinics Yes Not yet

Sudan

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Not yet Not yet

Informal providers No Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

Syria

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Yes Not yet

Informal providers No Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

Yemen

Provider group Involvement (Please mention yes or no or level of involvement)

Contribution(Please provide available data on contribution of different PPM providers )

Professional associations

Yes Not yet

Corporate Sector Not yet Not yet

Hospitals Yes Not yet

Informal providers No Not yet

Private laboratories Not yet Not yet

Private clinics Yes Not yet

PPM notification

Distribution of smear positive TB cases by source of referral

0

73

90 0

100

0 3

50

100

0

0

0

0 0

0

00

25

0

100

20

68

100

26

0

100

48

0

007

18

0

74

0 0

47

25

00 0 5 0 0 0 0 2 0 0

0%

20%

40%

60%

80%

100%

Djibouti Egypt Jordan Kuw ait Lebanon Oman Somalia Syrian ArabRepublic

West Bankand Gaza

Strip

Yemen

Self, New ss + Community,New ss + Public, New ss + Private, New ss + Others, ss+

Pulmonary smear positive cases Q3 2007

country Self, New ss +

Community,New ss +

Public, New ss +

Private, New ss +

Others, ss+

Djibouti 0 0 100 0 0

Egypt 73 0 20 7 0

Jordan 9 0 68 18 5

Kuwait 0 0 100 0 0

Lebanon 0 0 26 74 0

Oman 100 0 0 0 0

Somalia 0 0 100 0 0

Syrian Arab Republic 3 0 48 47 2

West Bank and Gaza Strip 50 25 0 25 0

Yemen 100 0 0 0 0

Regional Priorities2008-2009

• Finalize NSA for the remaining countries by Q1 2009 (training workshop)

• Establish task forces and focal points for PPM by mid 2009.

• Start piloting during 2009 and discuss results by end of 2009.

• Expand the current pilot sites to cover the whole country during 2008.

• Enhance documentation including rcording reporting for PPM

Afghanistan Plans for PPM 2008-2009

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Egypt Plans for PPM 2008-2009

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Pakistan Plans for PPM 2008-2009

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Somalia Plans for PPM 2008-2009

• Finalize guidelines.

• Implement pilot sites

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Sudan Plans for PPM 2008-2009

• Finalize NSA and guidelines.

• Implement pilot sites

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Syria Plans for PPM 2008-2009

• Finalize guidelines.

• Implement pilot sites

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)

Yemen Plans for PPM 2008-2009

• Finalize guidelines.

• Implement pilot sites

• Evaluate the results of the pilot sites.

• Document PPM success stories.

• Expand PPM sites (xxxx)