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Progress and plans for PPM in the
Eastern Mediterranean Region
Fifth PPM Subgroup Meeting
3 - 5 June, Cairo
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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.
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• 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
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• 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
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Web based quarterly report
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Quarterly report Q3 2007
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PPM coverage chart
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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+
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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
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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
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Afghanistan Plans for PPM 2008-2009
• Evaluate the results of the pilot sites.
• Document PPM success stories.
• Expand PPM sites (xxxx)
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Egypt Plans for PPM 2008-2009
• Evaluate the results of the pilot sites.
• Document PPM success stories.
• Expand PPM sites (xxxx)
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Pakistan Plans for PPM 2008-2009
• Evaluate the results of the pilot sites.
• Document PPM success stories.
• Expand PPM sites (xxxx)
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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)
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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)
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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)
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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)