National TB Control Programme Pakistan

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National TB Control Programme
Pakistan
stop TB Pakistan
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Islamic Republic of Pakistan

• Population140 million
• 1/3rd below poverty line
• 6th highest TB burden
• TB Incidence 177/100,000

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TB Situation in Pakistan

• Major public health problem
• Harbors 43 of disease burden in EMR/WHO
• 250,000 new cases every year
• 75 of patients between the age group of 15 59
  
• years
• Social stigma

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TB Control Programme Historic Review

• 1960s Program launched
• 1980s Dormant programme
• 1995 DOTS strategy adopted
  
• 1996 TB Directorate abolished
• 1998 TB integrated with PHC Roles and
  responsibilities redefined
• 2000 NTP revived to operationalize
  DOTS strategy in the country
• 2001 National Emergency - Islamabad
  declaration

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NTP OBJECTIVES

• National policy, strategic and operational
  guidelines
• District capacity building for DOTS
• Training, supervision and monitoring
• Advocacy and community mobilization
• Quality assured microscopy network

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NTP OBJECTIVES

• Partnership building
• International technical and financial partners
• Inter-sectoral and intra-sectoral collaboration
• Public-private partnership for enhanced case
  detection and treatment outcomes.
• Operational Research ? program decisions  

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TB Situation Case Notification DOTS Areas
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DOTS SITUATION
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Achievements

• PARTNERSHIP DEVELOPMENT
• IACC
• Drugs received from GDF (153,100 patients)
• GFATM (BCC and NGO Support)
• Provincial Referral Laboratories Strengthened
• Additional BCC Funding GoP.
• Additional Support for Developing Public
  Private Partnerships (DFID,WB)
• FIDELIS (Intersectoral Collaboration, Tertiary
  Care Hospital, NGO Support )
• District Capacity Building for DOTS (USAID/WHO)
• CIDA reaching poorest of poor( Through LHWs )
• STOP- TB PAKISTAN

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Future plans

• Strengthen Smear Microscopy Q/A system.
• Resource gaps in Public-Sector DOTS expansion
• Build district capacity to consolidate and
  sustain quality DOTS
• Strengthen Drug Management / QC
• Cont..

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• Enhance case detection Treatment Outcome by
• Strengthening community mobilization
• Involving NGOs private practitioners
• Involving Tertiary Care Level Hospitals in DOTS
• Promoting sector-wide approach in DOTS
• (Social Security, Police, WAPDA, Railways etc)
• DOTS in migratory populations (Nomads, Afghan
  refugees)

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Challenge

• Adequately equipped Public Health Sector
• DOTS In place
• BUT
• CDR and Treatment out come not achieved

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Response

• There is need for broader and
• more intensified collaboration involving other
  sectors and partners

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ISAC

• Involvement of District Government
• local opinion/community leader
• Infra structure available (devolution)
• gt100,000 councillors
• To mobilise local political support.
• To enhance public and political perception of TB
  and DOTS.
• To increase TB awareness throughout Pakistan
• Proposal Submitted to mobilize communities .

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Striving for TB free future
stop TB
Pakistan
National TB Control Programme, Pakistan