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Advancing the TB Programme in Ghana: Challenges and Strategies for 2006 and Beyond

This presentation by Dr. Frank Bonsu from the Central TB Unit at Korle-Bu outlines the current interventions for Tuberculosis (TB) control in Ghana, including the expansion of the Directly Observed Treatment, Short-course (DOTS) program, TB/HIV collaborative activities, and community-based care. It highlights the priority activities for 2006, challenges in TB management such as low case detection and drug shortages, and the way forward, including improving infrastructure, integrating TB and HIV efforts, and strengthening monitoring and evaluation systems.

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Advancing the TB Programme in Ghana: Challenges and Strategies for 2006 and Beyond

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  1. OVERVIEW OF TB PROGRAMME 2006 Dr. Frank Bonsu Central TB Unit, Korle-Bu

  2. Presentation Outline • Current Interventions • Coverage Performances • Challenges • Way Forward

  3. Current Interventions Scaling up • DOTS quality expansion programme • PPM DOTS • TB/HIV Collaborative activities • Community based TB Care • TB in prisons • Advocacy , communication, social mobilization

  4. Priority Activities for 2006 • Build capacity at all levels • Intensify and support monitoring, supervision and evaluation system for the TB programme • Establish system of case holding and defaulter tracing with active community participation. • Provide infrastructure for supervised treatment in some district hospitals. • Integrate TB and HIV prevention, care and support activities • Promote behavioural change communication to support TB control

  5. Programme Performance Trends1997- 2006

  6. Specific outputs for 2006

  7. TREND OF REPORTED TB CASES

  8. Trend of Case Notification rates / 100,000 pop.

  9. Trend of treatment success

  10. Key Challenges • Data quality and management needs to be improved Limited coverage of existing public health infrastructure, contributing to low access to TB services • Low case detection • National: 12,220 cases (57/100,000 pop) • Regional: NR-12/100,000; UWR-28/100,000 pop) • Management of TB/HIV co-infection Insufficient human capacity of both numbers & skills to implement DOTS • Logistics management • Drug shortages • Sputum containers

  11. NTP Strategic Plan 2007-2011 • External review of NTP by WHO, USAID,QHP,GHS/MOH just completed • Key findings will inform developing next strategic plan

  12. Way Forward Main activities for 2007 • Improve infrastructure and develop facilities (building, equipment, transport) • Strengthen programme management (HR-hiring & dev’t, TA, logistics, publications) • Roll out of TB/HIV activities • Training: CBTC, TB/HIV, Prisons, ACSM etc • Improve M&E – technical support visits • Procure and distribute supplies and logistics (drugs, diagnostics, stationery) • Strengthen laboratory network and quality assurance • Prepare for DOTS plus programme • Conduct operational research (MDR, TB/HIV, etc)

  13. Thank YOU!

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