National TBL Program update

National TBL Program update

1. Key areas raised/discussed under the sub theme

• The Key tuberculosis affected populations
• Engaging NGOs and CSOs in TB prevention and control
• Community Based TB Care
• Drug resistant tuberculosis diagnosis and treatment services

2. Major challenges raised/discussed  

Challenges/Bottlenecks to find Missed TB cases

• Poor access for rapid diagnostics
• Political commitment (HEW are only expected to report on MCH activities)
• Inadequate integration with other programs at all level
• Lack of commitment by woreda administration.
• Weak health center and health post network (presumptive referral and follow up)
• Lack of intersectorial  collaboration
• Weak TB screening at OPD service outlets
• Delayed referral system (sample and patient referral)

TB lab services

• Access and utilization of rapid technology is limited 
• Postal service issue
  • Supply shortage

• TB Lap. VS  OPD integration gap
• Shortage of lab staff 
• Poor TB lab infrastructure
• Poor laboratory management

Community TB

• Indicator: Community contribution cannot be measured by the current indicator (mis-understanding about community contribution)
• Weak health center and health post network (presumptive referral and follow up)
• Lack of continuous awareness creation/community mobilization activities at community level (more of campaign)

KAP

• Difficulty for target setting and reporting
• Lack of quality of TB screening and diagnosis due to shortage of sensitive tests (Chest X-ray, GeneXpert)
• Lack of inter-sectoral collaboration
• Budget shortage
• Lack of prioritization of KAP for intervention
• No reporting system 

CSOs

• • Low political commitment
    • Earmarked budget unavailable
    • Contribution of CSOs not tracked
    • No CSO forums
  • Weak collaboration among CSOs and with the government
  • Mapping of CSOs is not systematically done
  • Low number of CSOs working on TB
  • No specific engagement framework dis aggregated by urban and rural

3. Consideration for EFY 2012 implementation and beyond to be considered in the next HSTP (in the following four categories)

• Intervention/s that need to be dropped:
  • No intervention to be dropped
• Intervention/s that need to be modified: No
• Intervention/s that need to be continued as is: All
• Intervention/s that need to be newly added:
  • Mainstreaming TB  service in multi-sectorial  sectors
  • Mobile outreach  health service for pastoralist community
  • TB KAP  intervention