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National TB Control Programme Pakistan

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1. 1 National TB Control Programme Pakistan

2. 2 Islamic Republic of Pakistan Population:140 million 1/3rd below poverty line 6th highest TB burden TB Incidence: 177/100,000

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4. 4 TB Control Programme: Historic Review 1960s Program launched 1980s Dormant programme 1995 DOTS strategy adopted 1996 TB Directorate abolished 1998 TB integrated with PHC ? Roles and responsibilities redefined 2000 NTP revived to operationalize DOTS strategy in the country 2001 National Emergency - Islamabad declaration

5. 5 NTP OBJECTIVES National policy, strategic and operational guidelines District capacity building for DOTS Training, supervision and monitoring Advocacy and community mobilization Quality assured microscopy network

6. 6 NTP OBJECTIVES Partnership building: International technical and financial partners Inter-sectoral and intra-sectoral collaboration Public-private partnership for enhanced case detection and treatment outcomes. Operational Research ? program decisions??

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8. 8 TB Situation :Case Notification DOTS Areas

9. 9 DOTS SITUATION

10. 10 Achievements PARTNERSHIP DEVELOPMENT IACC Drugs received from GDF (153,100 patients) GFATM (BCC and NGO Support) Provincial Referral Laboratories Strengthened Additional BCC Funding ? GoP. Additional Support for Developing Public & Private Partnerships (DFID,WB) FIDELIS (Intersectoral Collaboration, Tertiary Care Hospital, NGO Support ) District Capacity Building for DOTS (USAID/WHO) CIDA ?reaching poorest of poor( Through LHWs ) STOP- TB PAKISTAN

11. 11 Future plans Strengthen Smear Microscopy Q/A system. Resource gaps in Public-Sector DOTS expansion Build district capacity to consolidate and sustain quality DOTS Strengthen Drug Management / QC Cont?..

12. 12 Enhance case detection & Treatment Outcome by: Strengthening community mobilization Involving NGOs & private practitioners Involving Tertiary Care Level Hospitals in DOTS Promoting sector-wide approach in DOTS (Social Security, Police, WAPDA, Railways etc) DOTS in migratory populations (Nomads, Afghan refugees)

13. 13 Challenge Adequately equipped Public Health Sector DOTS In place BUT CDR and Treatment out come not achieved

14. 14 Response There is need for broader and more intensified collaboration involving other sectors and partners

15. 15 ISAC Involvement of District Government local opinion/community leader Infra structure available (devolution) >100,000 councillors To mobilise local political support. To enhance public and political perception of TB and DOTS. To increase TB awareness throughout Pakistan Proposal Submitted to mobilize communities .

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