Engaging all care providers to
Stop TB: Global progress
How have we responded to the recommendations
of the 4th PPM Subgroup meeting?
5th PPM Subgroup Meeting, WHO/EMRO, Cairo, Egypt
3 June 2008
PPM Subgroup Secretariat
Recommendation 1:
Coordinate with partners
to implement recommendations
• Core Group consultations at Union conferences and Subgroup
meetings
• TB CAP: Projects development and collaborative implementation
(IR3 – APA:1-3; 4)
• Potentially, through TBTEAM mechanism
Recommendation 2:
Promote PPM guidance
and tools
• Thirteen countries have developed PPM
guidelines
• National situation assessments undertaken
in 11 countries from AFR and EMR
• PPM operational planning workshop for 11
countries in AFR and EMR
• Spanish translation of the guidance document
under print, French translation under way.
Recommendation 3:
Promote International Standards
for TB Care
• Largely driven by ATS in collaboration
with partners
• Endorsements obtained and translated
widely
• Pilots in India, Indonesia, Kenya,
Mexico, Tanzania
• User guide and training modules
developed
• Revision under way
Recommendation 4:
Prepare guidance on involving
hospitals in TB control
• Process led by KNCV
• Preliminary draft developed
• Shared and discussed in a multi-country
workshop in 2007
• Draft revised based on feedback and input
• To be discussed in this meeting
Recommendation 5:
Conduct training on PPM
at various levels
• 3rd PPM international consultants training course, Sondalo, Italy, April 08
• Regional training course for 9 countries in WPR; preparation on for a
training course for Francophone countries
• Country specific courses / workshops: preparation on for a workshop for
NGOs in India
• PPM incorporated into international courses on TB: Sondalo; RIT
Recommendation 6:
Provide technical support to
countries for PPM
• AFR:
Malawi, Nigeria, Ghana
• AMR:
Mexico
• EMR:
Pakistan
• SEAR:
Bangladesh, India,
Indonesia, Nepal
• WPR:
China, Philippines,
Vietnam
Recommendation 7:
Help develop guidance on PPM
for TB/HIV
• Literature review
• PPM TB/HIV consultations
• PPM TB/HIV draft protocol for piloting
• Union to pilot in India and Namibia
• Protocol to be made available
on the web
• Technical support available
Recommendation 8:
Link with MDR-TB Working
Group and Laboratory Subgroup
• Joint Group on PPM MDR-TB
proposed
• Links with the Lab Subgroup
established
• Working examples of PPM
Labs yet to be studied
(India, Iran)
• Collaboration with FIND on
private laboratories
engagement on Uganda
Recommendation 9:
Document and develop
strategies to involve informal providers
• Partly supported through
TB CAP project
• Literature review
• Documentation in Burkina Faso
and Gambia
• Documentation in more
countries planned
• Intervention project planned in
Gambia
Recommendation 10:
Enhance efforts to engage
corporate sector
• Literature review undertaken
• Country examples documented:
Bangladesh, Philippines; more
planned (Kenya, South Africa,
Brazil ?, India ?)
• Multi-agency Task Force set up:
UNAIDS, ILO, WEF, WHOOccupational Health, Stop TB
Partnership
• Company self-assessment tool
developed and piloted
• Joint Consultation with countries
and business sector planned
Recommendation 11:
Pursue operational research
agenda
• India: Scale up documentation
• India: Economic analysis of
scale up
• TB
–
–
–
CAP Projects:
Informal providers
Corporate sector
PPM TB/HIV
Recommendation 12:
Collaborate with and learn
from other health programmes
• WHO Technical Brief on private sector
• PPM Malaria
• Sharing of experiences
• Reproductive health
• WHO working group on contracting
• Journal editorials and articles and
book chapter
Recommendation 13:
Develop and use a
knowledge management strategy
• PPM Web Site
• Web Learning
Laboratory
Recommendation 14:
Strengthen advocacy efforts
• PPM Brochure updated
• PPM Website maintained
Expectations from PPM:
Global Plan 2006-2015
100
5000
80
4000
70
60
3000
50
40
2000
30
20
1000
10
0
0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
PPM
Proportion of population covered (%)
Population to be covered (millions)
90
Community
DOTS
PAL
Quality
assured
culture and
DST
Proportion of BMUs with PPM
in place: top 5 high burden
countries, 2007
100
97
100
100
80
53
60
40
20
1
0
India
China
Indonesia
Nigeria
Bangladesh
PPM resources and progress
in 22 HBCs : 2007
20
15
14
13
12
10
10
8
5
0
National
PPM Focal
Person
PPM
Guidelines
Scaling Up GF Support Training
for PPM
Material for
PPM
What precisely is the contribution of PPM
to Global TB control?
?
Key issues before this meeting
• Linking hospitals
• Engaging professional associations
• Involving business sector
• PPM for MDR-TB and TB/HIV working groups
• Tapping new opportunities and resources
• Measuring PPM contributions