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Identification of Programmatic Gaps/ Issues and Recommendation to Enhance NTP toward Post MDG goal

Identification of Programmatic Gaps/ Issues and Recommendation to Enhance NTP toward Post MDG goal. Establishing Sputum Courier System. Developing courier mechanism for sputum collection- test of all retreatment cases in Gene- Xpert , Sputum collection from the health facility without MC,

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Identification of Programmatic Gaps/ Issues and Recommendation to Enhance NTP toward Post MDG goal

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  1. Identification of Programmatic Gaps/ Issues and Recommendation to Enhance NTP toward Post MDG goal

  2. Establishing Sputum Courier System • Developing courier mechanism for sputum collection- test of all retreatment cases in Gene-Xpert, • Sputum collection from the health facility without MC, • Collection of sputum from hard to reach and vulnerable population, • sputum collection of MDR cases from MDR centers and sub centers

  3. Strengthening Laboratory Network • Measures of reactivating non functioning lab • Identifying proper outlets in the district for establishment of Gene-Xpert and its optimal use for out reach and vulnerable population and retreatment cases- in view of role and responsibility of DTLO, lab and partners • Identifying Effective and rational role and responsibility of Lab in TB control • Identifying Laboratory strengthening measures in view of infection control, utilization of full capacity of MC (reaching target of suspect examination) • Infection Control measures at health facility level

  4. Enhance TB Case Finding and Management • Identifying effective methods of tracking and putting Initial Defaulter in TB treatment-First line and second TB • Mapping vulnerable population of TB in district • Additional approaches and activities to increase TB case finding in districts • Effective implementation of microscopic camp • Identifying ways of increasing TB suspects cases in OPD to increase lab test in the MC performing below capacity. • Identifying ways of testing HIV to all TB patients

  5. Meaningful Involvement of Community in TB Control • Identifying effective ways to involve community volunteers in TB case finding and holding • Identifying ways of meaningful involvement of Community in planning and monitoring and management of TB programme • Enhancing Community Based DOTS

  6. Strengthening coordination with NTP partners and private sector towards achieving NTP goal • Identify the role and responsibility among NTP partners(I/NGOs) and DHO/DPHOs and RHDs towards achieving post MDG goal • Issues and challenges in effective coordination and cooperation among NTP partners and DHO/DPHOs and RHDs

  7. Monitoring and Supervision • Revitalizing effective supervision and M&E system( data quality) in districts- • Challenges and solutions while establishing NTP R&R in HMIS • Further strengthening measures to M&E System of NTP

  8. Format for Group Presentation While preparing this plan following should be acknowledged: high impact in TB control, physibility and sustainability

  9. Group 1: Establishing Sputum Courier System

  10. Group 2: Strengthening Laboratory Network

  11. Group 3 : Enhance TB Case Finding and Management

  12. Group 4 : Meaningful Involvement of Community in TB Control and Strengthening coordination with NTP partners and private sector towards achieving NTP goal

  13. Group 5: Monitoring and Supervision

  14. Resource Persons • Dr. Pant • Dr. Verma • Dr. Prasai • Dr. Mezzabotta

  15. Facilators • Group 1: Dr. Bhawana, Kamala Wagle, • Group 2: Mr. Gokarna, IoM • Group 3: Mr. Sagar Ghimire, Rabin Khatiwada • Group 4: Ms Anita Shah, Sujit Sah • Group 5: Mr. Arun, Ratna, Bimal

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