Djibouti Plan to Stop TB 200615

1
Djibouti Plan to Stop TB 2006-15

• Our strategic vision/goal
• To halt TB incidence increase by 2015
• Our specific targets (context MDGs)
• To reach a TB case detection rate beyond 70 by
  2010 and 85 by 2015
• To maintain treatment success beyond 85 by 2010
• To reduce prevalence of TB by 2015
• To reduce deaths from TB by 2015

2
Summary of Activitiesoptimistic-realistic
scenario

• Enhanced DOTS
• Strengthening DOTS quality
• Additional populations covered by
• PAL, labs and community involvement 700,000
  pop.
• patients to be treated successfully treated
  (graph by year?) 4000 and more
• TB-HIV
• activities according to Category I and
  strengthening collaboration with NH/AP
• DOTS
• Adapt and implement DOTS activities to manage
  all the MDR/TB chronic cases

3
Summary of Costsoptimistic-realistic scenario

• Costs by activity and year for
• Enhanced DOTS 2.580.000
• TB-HIV 20.000
• DOTS 50.000

4
Conclusions

• Total budget 1 million in 2004
• Sources of funding
• - Government 50
• - World Bank grant 40
• - WHO 10

5
Conclusions

• Obstacles Humans resources (lack of)
• Funds non secured
• Lack of international
  technical assistance
• Poor coordination with the
  neighbouring
• countries (Somalia,
  Ethiopia and Eritrea)
• High HIV burden population
  
• Opportunity
• Promote the Advocacy and social mobilisation to
  raise the profile of TB as a major problem of
  public health
• Initiate collaboration with neighbouring
  countries
• Development and strengthening a close
  collaboration with HIV/AIDS programme and other
  public health initiatives/programmes (PAL, PHC,
  ARI, etc)
• Uncertainties, risks HIV/AIDS epidemic make TB
  situation worse

6
Trends over time of the number of new TB cases in
Djibouti
7
Trends over time of the incidence of TB Morocco
(per 100,000 pop. per year)
8
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