facilities for tb control in saarc the national tb control programmes of all saarc member countries...
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Facilities for TB Control
in SAARCThe National TB Control
programmes of all SAARC Member Countries
use the DOTS Strategy
DOT prolongs survival ofHIV-infected TB patients
Survived 56.7%
Died43.3%
SCC with DOTSCC without DOT
Survived85.4%
Died14.6%
93
10
84
100
30
100
90
Bangladesh Bhutan India Maldives Nepal Pakistan Sri Lanka
% o
f P
opu
lati
onPopulation covered by DOTS programme
(not
to s
cale
)
Bangladesh Total Population 125 millions
Population Covered by DOTS 114 millions
Percent of Population Covered by DOTS 90%
Estimated Number of New SS(+)ve.patients 137318
Number of New SS(+)ve Pts.treated (Jan.-Sept 99) 29219
Treatment Success in DOTS areas
~80%
Bhutan Total Population 0.6 millions
Population Covered by DOTS 0.6 millions
Percent of Population Covered by DOTS 100 %
Estimated Number of New SS(+)ve.patients 1275
Number of New SS(+)ve Pts.treated (1999) 315
Treatment Success in DOTS areas ~90%
India Total Population 1000 millions
Population Covered by DOTS 300 millions
Percent of Population Covered by DOTS 30%
Estimated Number of New SS(+)ve.patients 818210
Number of New SS(+)ve Pts.treated (1999) 522800
Treatment Success in DOTS areas ~85%
Maldives Total Population 0.27 millions
Population Covered by DOTS 0.27 millions
Percent of Population Covered by DOTS 100%
Estimated Number of New SS(+)ve.patients 107
Number of New SS(+)ve Pts.treated (1999) 176
Treatment Success in DOTS areas ~98%
Nepal
Total Population 23 millions
Population Covered by DOTS 20 millions
Percent of Population Covered by DOTS 85%
Estimated Number of New SS(+)ve.patients 20000
Number of New SS(+)ve Pts.treated 8000
Treatment Success in DOTS areas ~89%
DOTS and Community• DOTS committeeDOTS committee
• District development committeeDistrict development committee
• MunicipalityMunicipality
• Village development committeeVillage development committee
• NGOsNGOs
• MediaMedia
• Community VolunteersCommunity Volunteers
• Social WorkersSocial Workers
• Teachers and studentsTeachers and students
• TB patientsTB patients
DOTS committee, key to success
DOTS Committee:
• Group of motivated people: social workers, political leaders, civic leaders, health service providers, journalist, teachers, representatives of local organizations, I/NGOs, medical schools and colleges and TB patients.
DOTS and Medical colleges• Frequent meeting with them
• NTP DOTS orientation• Establish DOTS Centre
– BPKIHS– Nepalganj Medical College (2 DOTS centres)– Bharatpur Medical College– TU Teaching Hospital
• Such activities are being carried to other SAARC member countries, Bhutan, Bangaldesh, Sri Lanka, India, Pakistan, Maldives
Pakistan
Total Population 130 millions
Population Covered by DOTS 10.4 millions
Percent of Population Covered by DOTS 8%(in National Population)
Estimated Number of New SS(+)ve.patients 117,000
Treatment Success in DOTS areas ~85%
Sri Lanka Total Population 18 millions
Population Covered by DOTS 17 millions
Percent of Population Covered by DOTS 95%
Estimated Number of New SS(+)ve.patients 5019
Number of New SS(+)ve Pts.treated (1999) 3734
Treatment Success in DOTS areas
~75%
SAARC TB Centre (STC)1984 Second meeting of Foreign Ministers identified TB as priority area
1990 Fifth Summit of the head of states/governments decided to set-up STC in Nepal
1992 First Governing Board meeting held to formulate rules & regulations
1994 Staff recruited - STC started functioning
Governing BoardGoverning Board Highest policy making body
Composed of eight eminent experts in the field of
Tuberculosis - one each nominated by seven member countries
Director of STC is Member Secretary
One nominated member of SAARC Secretary General
participates in all meeting
Focal point of host country participate in each meeting
Meets once in a year or in emergency if required
Objectives of Objectives of SAARC Tuberculosis SAARC Tuberculosis
CentreCentreTo work for prevention and control of tuberculosis & HIV/AIDS in the region
by coordinating the efforts of National Tuberculosis Control
Programmes of SAARC member countries
Functions of STCFunctions of STC1. To act regional co-ordination centre for
tuberculosis control in SAARC region
2. Collection and dissemination of information
3. To establish net working arrangement among
National Tuberculosis Control Programme of
member countries
4. To initiate, undertake and co-ordinate the
research and training on TB control in the
region
5. To assist member countries for harmonization of policies and strategies
6. To assist member countries of maintain adequate supply of low cost anti-TB drugs
7. To monitor incidence, prevalence and emergence of drug resistance in the region
8. To promote action on issues relating to HIV related tuberculosis
9. To carryout other important works identified by the technical committee
Organogramme of SAARC TB CentreOrganogramme of SAARC TB Centre
Governing BoardGoverning Board
Director
Deputy Director
ICC DivisionResearch &
Training DivisionEpidemiology
DivisionBacteriology
Division
Achievements of STCAchievements of STCSeminars and Workshops Socio-cultural aspects of TB - Dec. 1993 TB programme managers of SAARC - Nov. 1994 TB programme through PHC approach - Apr. 1995 Preparation of Health Education materials - Oct. 1995 Pilot Demonstration areas of TB control - Jan. 1997 Production and Distribution of ATD -Jul. 1997 Formulation of guidelines for coordination in Govt. and
Pvt. Sector - Jun. 1997 Relating to research on TB/HIV in the region- Oct. 1997 SAARC-CIDA cooperation on TB/HIV - Mar.1999 Gender & Sociological Issues Related to TB-July 1999 SAARC Seminar for compilation and updating advocacy
and IEC material relating to TB-Sept.2000
Achievements of STCAchievements of STC T r a i n i n T r a i n i n gg Trainers’ training for NTP - Jul. 1994
Trainers, training for DTP managers - Jul. 1995
Training for regional TB programme coordinators
- Jul. 1996
Training for Lab. Technicians on TB bact. Apr. 96
Training for strengthening IEC activities on TB/HIV -
Feb. 1998
Trainers’ training for programme managers Jul- 1998
Training for TB coordinators - Dec. 1998
Trainers’ Training - Jun. 2000.
Achievements of STCAchievements of STCM e e t i n g
Consultative meeting on TB and AIDS - Oct.
1996
Meeting of TB experts for compilation of TB
control training manual - Jun. 1997
Ten meetings of Governing Board
Expert meeting for standardizing training
curriculum and workshop on operational Research
for TB control - Dec. 2000
Achievements of STCAchievements of STC
R e s e a r c h Member countries have identified focal
institute for research Research on TB bacillus, drug sensitivity
pattern in SAARC region is in progress Pilot demonstration site with suitable
strategy in TB control is being developed Initiation of SAACR-CANADA project
Activities organized for TB & HIV/AIDS control by SAARC TB Centre
SAARC Consultative Meeting on TB and HIV/AIDS, 23-25 Sept 1996, Kathmandu
Workshop Relating to Research on TB and HIV/AIDS in SAARC, 28-29 Oct. 1997, Kathmandu
Training Programme for Strengthening IEC activities with special emphasis on TB and HIV/AIDS, 10-23 Feb. 1998, New Delhi
Workshop on SAARC-CIDA Cooperation for TB and HIV/AIDS, 1-5 March 1999
Seminar for compilation and updating advocacy and IEC material relating to TB and HIV/AIDS, Oct. 2000
Cross Border Meeting for TB, HIV, Malaria and Kala-azar, March 2001
Achievement of STCCollection and Dissemination of the Information A resource centre (Library) for TB and HIV has been developed
Regional TB and HIV AIDS epidemiological data base
is being established.
Information network in Member Countries has been created
Directory of TB institutions and TB specialists has been
prepared
Regular collection and dissemination of information is being
done in the form of STC Newsletter, reports on workshops,
meetings & seminars and materials on training and research
Presentations of scientific papers in international and national
conferences
Achievements of STC
Scientific Sessions have been chaired and Technical Papers on TB and HIV have been presented in global lung congresses and IUATLD meetings held in Paris, Bangkok, Hong Kong and Dhaka
Regional situation and progress on TB control has been presented in WHO meetings held in Delhi, Bangkok and Myanmar
Dr. K. Styblo International Public Health Award, has been awarded for outstanding contribution - 1998
International Gold Star Award has been presented by International Friendship Society of India - 1999
Representation in International Conferences
Establishment of Resource Centre
A Regional Library for TB and HIV/AIDS has been established in SAARC TB Centre for Health Workers, Medical Students, Researchers and the interested people.
Focal Training Institutes for TB control in Focal Training Institutes for TB control in SAARC Member CountriesSAARC Member Countries
BangladeshBangladesh -- TB Control Training Centre, DhakaTB Control Training Centre, Dhaka
BhutanBhutan -- Division of Health Services, ThimphuDivision of Health Services, Thimphu
IndiaIndia -- National TB Institute, BangaloreNational TB Institute, Bangalore
MaldivesMaldives -- Chest Clinic, MaleChest Clinic, Male
NepalNepal -- National TB Centre, Thimi, National TB Centre, Thimi,
PakistanPakistan -- Ojha Institute of Chest Disease, KarachiOjha Institute of Chest Disease, Karachi
Sri LankaSri Lanka -- Respiratory Disease Control, ColomboRespiratory Disease Control, Colombo
Services to NTPs of Services to NTPs of Member Countries from STCMember Countries from STC
To provide platform for interaction and exchange of experiences
Collection, compilation and dissemination of information
Identification of problem areas in NTP Feedback suggestions with remedial
measures to member countries Training and Research for support of NTP
SAARC-WHO Memorandum of UnderstandingMoU between SAARC and WHO has been signed in
August 2000 STC has been identified as a collaborative Centre
for WHO activities in TB and HIV/AIDS SAARC-WHO meeting of potential
consultants in TB control- Jan. 2001 SAARC-WHO inter-country meeting on cross
border initiative in HIV/AIDS, TB, Malaria and Kala-azar - March 2001
Organizing WHO/ SEARO Training on TB Control Management from 1997 for
SAARC-CIDA project on TB and HIV/AIDS
SAARC and CIDA signed a MoU in July 1997
for cooperation to Control TB and HIV/AIDS.
The Project Document was prepared
in March 1999.
Member Countries have approved the Project
in Sept. 2000
The project has been initiated.
ConclusionsConclusionsBurden of TB & HIV/AIDS in SAARC region is enormousTB control is not only national but international issueCooperation is essentialSAARC TB Centre is in unique position to facilitate cooperationRegional approach is needed to fight against tuberculosis Strong and sustainable NTPs with 85% cure and 70% case detection is key of the successThere is a strong need of social mobilization and advocacy at each level in order to achieve objective of TB control