cap-tb thailand and regional
DESCRIPTION
CAP-TB Thailand and Regional. Rayong Province Strengthening the TB network. Rayong: FY14 A ctivities. Rayong Provincial Hospital : MDR-TB expert physicians MDR-TB case conferences M ulti-disciplinary teams for MDR-TB care Hospital call center - PowerPoint PPT PresentationTRANSCRIPT
Rayong: FY14 Activities
• Rayong Provincial Hospital: – MDR-TB expert physicians– MDR-TB case conferences– Multi-disciplinary teams for MDR-TB care– Hospital call center
• MDR-TB DOTS: transition from NCCM to RPHO/district level staff– Analyze successes of NCCM DOTS strategy to develop
protocol/guide for successful MDR-TB DOTS
Rayong: FY14 Activities
• Rayong Provincial Hospital: – GeneXpert diagnosis: province to assume costs
for GeneXpert cartridges
• Active case finding and screening– Effectiveness and impact of DM/PLHIV/community
screening?– Migrant population: consider Burmese
community?
Rayong: Current Funding Sources National Health Security Office (NHSO) 1. Active case finding/screening among at-risk populations and
close contacts of TB/MDR-TB patients2. Directly-observed therapy (DOT) by trained personnel for
TB/MDR-TB patients
Global Fund – to be ended in September 2014
1. DOTS in all communities in three districts in Rayong Province2. Facilitate TB/HIV activities3. Empower community in TB prevention and control4. Provide living support to patients
Building a provincial model for TB/MDR-TB decentralization in Rayong:
Strengthening provincial, district, sub-district, and community levels of TB network
Thailand: Bureau of Tuberculosis
• Support BTB to develop infrastructure for national MDR-TB decentralization – On-line “help desk” – Triage queries from around the country to specific experts
(clinical niche and geography)– Track and monitor queries over time
• Coordinate with other organizations working on cross-border migrant TB/MDR-TB: IOM, WHO, CDC, etc.– Health policy: advocacy with labor organizations, police, etc.
Strategy: combining partner and prime/funder priorities
Partner Prime/Funder
External communications
Project performance management
Organization management
Finance
Project performance management
Organization management
Regional Strategies and Activities
• Cross-border migrant population– Expand upon this over FY14-FY16?– Relevant priority given timing of ASEAN, location of
Thailand/Myanmar/China
• Research activities– Health economics and gender studies– 9-month regimen: potential national expansion to
other provinces in China (project support through TA?)