Comprehensive DOTS: 35 Districts

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Activities

• Comprehensive DOTS 35 Districts
• DOTS Plus In Pipeline
• Childhood TB (Kasur, Jhelum,Muzaffargarh-GFATM
  ROUND 2 Sargodha, Sheikhupura, Kasur GFATM Round
  6 4 Tertiary Care hospitals)
• HDL3 TC linked to 35 Districts (JICA Research)
• TB HIV 3 TC Hospitals, Lahore, Sargodha
• Prisons Phase I - 15 Prisons
• PPM 4 NTP Districts Phase I 4 USAID
  Districts Gulab Devi Hospital PATA Green Star

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Partners

• GFATM (Mercy CORPS)
• ACSM
• ASD Sargodha Jhangh
• BDN Lodhran Layyah
• HIS Khushab, MBDIN,
  Gujrat,Sialkot,Narowal
• PATA
• Sahiwl,Mgrh,DGk,Bwlpur,Nnk,Mbd,Gujrat,Grwala,Skt,
  Nrwal,Mianwali,Bhakkar,Khushab, Lahore Okara

• GFATM (NTP)
• Lab NTP
• Ref Training NTP
• Tertiary Care ASD
• TB HIV ASD,

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Resources

• PC- I (2008-2009) 135 M
• PC-I (2009-2012) 590 M
• GFATM Round 6
• NTP PC-I
• WHO

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Training Status IN Q1 2009
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PPM Status
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Tertiary care Hospitals Status of Case Finding
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Hospital Dots Linkage
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Access Rate of Referred Patients Qtr 1 2009
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ACSM Activities

• Partner meeting
• One week campaign
• through newspapers
• Training of social organizers
• ACSM material distributed

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ACSM Activities

• Printing of diagnostic
• Center directory
• Field Visits
• (Narowal Sialkot)

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Case Finding Profile
Suspect Identification Rate 2.0 Sputum
Positivity Rate 15.0
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JHANGH

• Administrative Reasons 3 EDOs changed during 2
  Q
• DTC not allowed by authority to M/S
• Vehicle not given to DTC
• Tech Reason Poor Ref by BHU/TC and LHW

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Chakwal

• NPO post vacant for the past 3 Q therefore M/S
  and Intra Dist meeting not supervised.

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JEHLUM

• RHC KHALASPUR closed Lab and Doc Transferred
• NPO post vacant for the past 3 Q therefore M/S
  and Intra Dist meeting not supervised

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Lahore

• NPO Post Vacant
• Poor referral by LHW and BHU
• Urban LHW Coverage low
• Monthly Meeting not regular
• Default Tracing mechanism not in place
• Suspect Identification Rate low

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Lodhran

• Poor Referral due to lack of coordination
  between T/C and D/C
• Regular Monthly cluster meetings not held between
  D?C and T/C

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Multan

• Urban side not totally covered
• TC still registering in non DOTS
• Poor M/S

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Muzzafargarh

• Poor referral by LHW and BHU therefore poor
  Suspect Identification

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CHALLENGES

• Vacant seats of NPOs
• PPM logistics, Incentives, Training
• Lab 2 Reference Lab
• Lab M/S because of non availability of vehicles,
  delayed release of funds for training
• LHW Recommended sputum cups at household
  level.
• Childhood TB

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Constraints

• Mobility for field work
• Impressed money for ACSM activities
• Approval of GFATM work plan
• ACSM Material

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• Prevention Early Diagnosis and Treatment
• Thank You