Development of CountrySpecific Plans for TB Drug Selection and Use

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Development of Country-Specific Plans for TB Drug
Selection and Use Moldova, Nepal,
Pakistan, Somalia, and Sudan
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Strengthening Management of TB Drug Selection

• Problem Area
• FDCs not registered and not on national EDL

• Activity
• Request MOH to include FDCs on EDL and to
  register them

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Strengthening Management of TB Drug Use

• Problem Area
• Inappropriate use of TB drugs in private sector
  (not following STGs/DOTS)
• Lack of community involvement in DOTS

• Activity
• Education and enforcement of legislation
• Implement community-based programs

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Strengthening Management of TB Drug Use, continued

• Problem Area
• Manufacturers incentives for providers

• Activity
• Regulatory interventions, counter detailing, and
  consumer awareness

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Strengthening Management of TB Drug Procurement

• Problem Area
• Two-tiered systems for procurement (inpatient and
  outpatient)

• Activity
• Implement pooled funding and procurement

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Strengthening Management of TB Drug Distribution

• Problem Area
• Insufficient means of transportation for drugs
• Treatment of TB cases in migrants/nomads

• Activity
• Purchase cars, camels, and motorcycles
• Train volunteers in rural communities