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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
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??
8. 8 TB Situation :Case Notification DOTS Areas
9. 9 DOTS SITUATION
10. 10 Achievements PARTNERSHIP DEVELOPMENT
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
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
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)
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 .