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TB CONTROL PROGRAMME KZN

TB CONTROL PROGRAMME KZN. PEPFAR Meeting TBC Focus Areas and Activities 2011 & 2012/2013 28 th November 2011. NSP Strategic Objective 1, 2 & 4. Activities Strengthen Public Private partnerships Expand TB services in business sector (occupational health clinics)

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TB CONTROL PROGRAMME KZN

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  1. TB CONTROL PROGRAMMEKZN PEPFAR Meeting TBC Focus Areas and Activities 2011 & 2012/2013 28th November 2011

  2. NSP Strategic Objective 1, 2 & 4 Activities • Strengthen Public Private partnerships • Expand TB services in business sector (occupational health clinics) • Strengthen partnerships with traditional healers • Train in TB diagnosis, treatment, DOT Establish R&R systems • Strengthen Infection control in health facilities and community • Train HCWs in TB Infection control • Conduct IC facility assessments • Minor alterations (windows, fans, outside waiting areas etc) • IC ACSM - Develop and print posters, pamphlets' (cough hygiene, open window policy) • Intensify door to door campaigns, and radio advert / phone in shows • Strengthen and support IPT • Train HCWs in IPT guidelines • Develop HCW wall posters, pocket books for TB Screening, IPT treatment guidelines

  3. NSP Strategic Objective 3 Activities • Expand Gene Expert roll-out (Procure and Train staff in Screening algorithms ) • Improve implementation of suspect register • Train facility staff in usage • Train facility staff in the completion of the monthly / quarterly statistical sheet, and analysis thereof • Intensify M&E of implementation and data analysis • Improve contact tracing • Improve awareness for contact tracing • Strengthen system for contact tracing = development and printing of tracing register and reporting forms (systemize) • Intensify M&E of implementation and data analysis • Improve implementation of treatment calendar / diary system • Train HCws in usage of treatment calendar / diary system • Develop, Print treatment calendar diary system • Targeted High Burden TB Facilities = 250 cases PA • HR , Staffing norms – 1 nurse per 250 cases PA • HR, Train HCWs • Intensified Case Find • Implementation of suspect register in all facilities • Training - NTCP Guidelines In Service • Ongoing • Treatment calendar / diary system implemented • System to track patient return dates, and identify defaulters quickly

  4. NSP Strategic Objective 3 cont.. Activities • Target high burden facilities = registering ≥200 cases pa • HR – Staffing norms, 1 nurse per 250 patients registered into Rx pa • Train HCWs in NTCP guidelines • Train HCWs in TBHIV combined management (Strengthen CPT, CD4 count and ART initiation in particular) • Develop HCW wall posters, pocket books for TB Screening / diagnostic algorithms, TB treatment regimens, CPT screening algorithms, and treatment guidelines • Improve ART uptake in TB / MDR TB patients • Train HCWs in ART • Improve R&R, and intensify M&E • Improve point of care TB /MDR TB education and adherence counseling • Train HCWs in counseling • Develop, print TB / MDR educational flip charts

  5. NSP Strategic Objective 3 cont.. Activities • Intensify ACSM for TB / MDR TB (Signs & Symptoms, Diagnosis = Early health seeking behavior, Treatment adherence, IC = prevention)) • Develop and print posters, pamphlets' • Intensify door to door campaigns, and radio advert / phone in shows • Kick TB in schools • Expand decentralized and community based management of MDR TB • Identify, and develop additional decentralized and satellite MDR TB units (x-ray, audiology, rehab equipment etc) • Establish TBHIV community outreach teams (Tracers, mobile injection teams) • Train all HCWs in MDR TB guidelines (particularly side effect management MDR/ART)

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