palau ministry of health tb program expanded role of tb dots workers
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Palau Ministry of Health TB Program Expanded Role of TB DOTS Workers. Johana Hana Ngiruchelbad , RN Administrator, TB, HIV & STI Program. Population & Vital Statistics 2006 Land Area (sq. miles)  - 188 Total Population – 19,907 Below 15 yrs. old – 5,152 16 to 64 yrs. old – 13,619

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palau ministry of health tb program expanded role of tb dots workers

Palau Ministry of HealthTB Program Expanded Role of TB DOTS Workers

JohanaHanaNgiruchelbad, RN

Administrator, TB, HIV & STI Program

slide2
Population & Vital Statistics 2006

Land Area (sq. miles)  - 188

Total Population – 19,907

Below 15 yrs. old – 5,152

16 to 64 yrs. old – 13,619

65 and over – 1,136

Non- Palauans - 5,469

Population Density (per/sq. mi.) Palau-116

Koror  - 1,811

Number of States- 16

Annual Population Growth - 1.3%

tb disease rates
TB Disease Rates
  • Palau – Reported TB
    • Incidence for 2007 – 60 cases/100,000 pop*
    • Prevalence for 2007 – 71 cases/100,000 pop*
    • Incidence for 2009 – 100 cases/100,000 pop**
    • Prevalence for 2009 – 105 cases/100,00 pop**
    • 2010 Jan to June already confirmed 11 cases
increased need for dots workers
Increased need for DOTS Workers
  • Increased number of cases
  • Improved contact investigation result in increasing # of client on LTBI treatment who often needs to be on DOTS
  • Contact investigation and follow-up evaluation itself requires staff time
gf tb funds support dots
GF TB funds support DOTS
  • Decision made to train DOTS Workers
  • Training Advisory Committee Formed
  • Hired a retired TB Nurse to be trainer
  • Team Developed Curriculum for 6 weeks
  • Recruit Trainee’s
  • Selected 18 trainee’s
  • Training started, 15 of graduates
  • Cross training at TB Center, Laboratory, Pharmacy, and Community Health nursing post (rotate 2 months at each post)
dots workers training
DOTS Workers Training
  • Provided additional manpower to other area’s in MOH
  • DOTS workers involved in TB work at current assigned post
  • Four assigned to TB Center and conduct DOTS daily
  • Five assigned in Community Health Post and assist with DOTs in remote areas
  • All trained DOTS Workers assist with Contact Investigation, Case Management Reviews, Patient and Community Education
future plans
Future Plans
  • DOTS are continually evaluated for potential increased role in TB Care Management
  • They provide additional support for all the assigned post.
  • This project is evidence provide strong support for local training to build Human Resource for Health Care
thank you

Thank you

Questions????

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