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Morocco Stop TB ACSM Strategy. “Take off activities” Amman 04.08 Pr. Jamal Eddine NAJI. Concentration des cas de tuberculose au Nord –Ouest des zones côtières des plus grandes villes. Incidence de la TPM+ pour 100 000hab. Tan. Gha. Taz. Rab. Reg. Gra. Fes. Cha. Dou. Mek. Tad.

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Morocco Stop TB ACSM Strategy


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    1. Morocco Stop TBACSM Strategy “Take off activities” Amman 04.08 Pr. Jamal Eddine NAJI

    2. Concentration des cas de tuberculose au Nord –Ouest des zones côtières des plus grandes villes Incidence de la TPM+ pour 100 000hab Tan Gha Taz Rab Reg Gra Fes Cha Dou Mek Tad Mar Sou Gue Laa 22-27 27-32 32-38 38-43 43-48 Oue 48-53 53-59 59-64 Pr.Jamal Eddine NAJI

    3. Listing of activities • 114 Actvities: Advcy/Com/S.Moblz • 4 Axis: • Promote Community participation in TB care • Strengthening/consolidating community structures/organisations • Develop/facilitate/coordinate partnerships (communities/ other sectors…) • Fight against the stigmatization (P&HP) Pr.Jamal Eddine NAJI

    4. Advocacy activities (political advocacy) • National consensus : Minister's Appeal (MeetingJune 2006) • Targets • Health professionals (public/private) • Professors, lung specialists, phthisiologists • Public sector professionals : technical • National/thematic NGO's • District's (neighbourhood) associations • Local councillors (elected representatives of the community) • Patients ( and cured) • Media coverage (given a lot of national media – TV, radio, print…) Pr.Jamal Eddine NAJI

    5. Provincial consensusP. Advocacy + social mobilization (Department/region, “prefecture”, municipality) • Model operation: Casablanca (25% national TB incidence) • Minister's appeal (P. advocacy) • Targets • Professionals • Local governments (administration, army, security/police, Mayor…) • Sectors’ decision makers • NGO's • Neighbourhood associations (districts) • Elected representatives/deputies • Specialists, professors • Appeal to get funding for the strategy Pr.Jamal Eddine NAJI

    6. Targets • Professionals • Town authorities (administration, army, security/police, Mayor…) • Multi sectors’ decision makers • NGO's • Neighbourhood associations (districts) • Elected representatives/deputies • Specialists, professors Pr.Jamal Eddine NAJI

    7. Appeal to get funding for the strategy • Media coverage (national and local levels, a lot given) • To make town's authorities aware of their responsibilities • Official/formal announcements (local level): public funds and national initiative of H.D (king's program) for TB Program Pr.Jamal Eddine NAJI

    8. Local consensus (proximity/closeness)Advocacy + communication + S.M • Model operation: Salé • Advocacy (citizenship/participation) • About the new TB strategy • Targets • Elected • Volunteers/formers agents • Local associations • Local multi sectors’ agents • Local health professionals • Appeal: community and multi sectors’ approach • Training on local planning of activities, with synergy • Local agenda to fight TB in the local areas Pr.Jamal Eddine NAJI

    9. Advocacy intra system (H.S)Communication/ S.M • Regional workshops • Social mobilization appeal: PNLAT new strategy • Casablanca (center and west) • Tangier (north and east) • Marrakech (south) • Targets • H. professionals • National/thematic NGOs • PNLAT's workers Pr.Jamal Eddine NAJI

    10. To adhere to (support): • The new strategy 2006 – 2015 • ACSM (new component) • To review the PNLAT's information/notification system and all the local/regional/provincial deficiencies (management, bureaucratic matters, procedures…) • Message to the H. Professional: commit yourself! (new PNLAT's strategy) • Technical appeal (H. Professionals): build plans at different levels, with different objectives (ACSM included) Pr.Jamal Eddine NAJI

    11. Communication/Training • Planning workshops intra H. system (Multiparty, synergy) • Model operation: Casablanca, Salé • 1st Appeal: planning (standardization) • 2nd Appeal: implementation agenda • 3rd Appeal: decentralization of the new strategy (ACSM especially) Pr.Jamal Eddine NAJI

    12. Communication/ Social Mobilization • «Note au gouvernement» (H. Minister's proposal to the government agenda) • Calling up: sectors’ decrees, circulars (material, political and logistic supports at different levels) • Sectors’ conventions, partnerships: between departments /NGO's/others… • National conference (Summit): all the partners/actors/players • Morocco Stop TB web site • Graphic design of the new strategy (“Graphic charter”) • Special factual RDV: • TB International day (e.g. March 24th ) • AIDS Program Activities (communication's) • Training, special courses • Social marketing • communication Pr.Jamal Eddine NAJI

    13. ASCM Structural Support Researches • KAP study • Notification system • Electronic networking (Priotity:19 areas) • Specific informatics' program? Pr.Jamal Eddine NAJI

    14. Challenges/urgent agenda • «Perdus de vue» (PVD): DEFAULTERS • Migrants (sub-Saharan) • Aids Program (coordination) • New statute and new visibility for the PNLAT in the H. System (Ministry) Pr.Jamal Eddine NAJI

    15. Political and technical H. System decisions • Professionals motivation and against stigmatization (e.g. Laboratory's) • Review: notification system • Curricula (Universities) • Raise: Human resources (PNLAT) Pr.Jamal Eddine NAJI