STAG Recommendations on Collaboration in Health Sector

1
STAG Recommendations on Collaboration in Health
Sector
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Recommended country activities

• Carry out a survey on private sector involvement
  (quick survey form)
• Develop an intervention protocol to determine
  methods for improving private sector services for
  tuberculosis patients (PPM proposals / FIDELIS)

3
Recommended regional activities

• Identify providers of TB services (quick survey
  form)
• Develop a framework for determine the extent of
  private sector involvement in TB services (Not
  done)
• Collect and summarize existing information on
  private sector involvement in TB care(quick
  survey form)
• Facilitate countries in developing protocols for
  improving private sector services for TB care
  (SGS and PPM proposals / FIDELIS)

4
Expected outcomes

• Report on the extent of health sectors
  involvement in TB services (quick survey form)
• Report on status of countries surveys on private
  sector involvement (Not done)
• Report on interventional studies for improving
  private sector services (SGS and PPM proposal /
  FIDELIS)
• Report on case finding stratified by sector
  (quick survey form)

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Quick survey Country response
13 countries responded(57)
Responded
Not responded
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Quick survey findingsA. Governmental sector
involvement
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Quick survey findingsB. Semi-governmental
sector involvement
8
Quick survey findingsC. Private sector
involvement
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Research Small Grant Scheme supported projects
(2000/2001)

• Private sector (Iran, Pakistan, Somalia)
• Is private sector following the national TB
  guidelines in diagnosis and management of
  pulmonary TB?
• Collaboration with NGOs (Iraq)
• Effect of Involvement of members of Iraqi women
  federation on the outcome of the strategy of
  DOTS.
• Collaboration with Private sector (Pakistan)
• Does providing free sputum microscopy service to
  private practitioners improve TB case
  notification?

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Is private sector following the national TB
guidelines?
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Effect of Involvement of members of Iraqi women
federation (IWF) on the outcome of DOTS

• Increased treatment success rate (83 vs. 68) in
  the arm with the IWF involvement for direct
  observation
• Minimum of eight missed doses of TB drugs could
  significantly affect the cure of patient

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Does providing free sputum microscopy service to
private practitioners improve TB case
notification?

• Provision of free sputum microscopy examination
  did not improve TB notification rate
• Sputum microscopy was employed less then chest
  radiograph and blood tests due to lack of
  knowledge about TB diagnosis
• Only 23 of patients were referred to a
  government TB center
• Only 22 of the practitioners kept a record of
  their TB patients

13
SGS granted PPM studies 2002-2003
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PPM draft proposals List of countries involved

• Egypt
• Islamic Republic of Iran
• Somalia
• Sudan
• Syria Arab Republic
• Pakistan
• Yemen

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PPM proposals Summary table