Regional Strategy
To Stop Tuberculosis
in the Western Pacific

 

Initiatives

TB Infection Control Review in countries

When: Dec 2011 – Mar 2011
Countries: Cambodia, Lao PDR, Philippines
Objectives:

  • Develop standardized comprehensive review protocol and tools for infection control
  • Conduct infection control reviews in selected countries from policy, facility and practice aspects for national and peripheral facilities

Description:
Infection control (IC) is inherently cross-cutting, affecting the entire health system. At the same time, countries are at different levels of IC strengthening, requiring country-specific strategies. To maximize resources, therefore, it is crucial to both coordinate efforts in the area of IC across the health system, and to target country support so that it addresses the actual need. In this spirit, and with the support of USAID, Stop TB WPRO has conducted a series to situation assessments to reveal the status of TB IC (baseline data) in each country; identify weaknesses and constraints; show opportunities for crosscutting collaboration with other disease programmes; and inform policy development.

The analyses included a review of processes that are in place for IC human resource development, budgeted planning and evaluation and monitoring, the procurement and logistics management of supplies and equipment (such as gloves, N95 respirators, UVGI, etc.), as well as their maintenance. Facility assessments included IC programme management at hospitals and clinics where TB suspects are likely to be present, administrative IC measures (such as triage, etc), personal protection including existing data on TB in health care workers, and lastly environmental aspects of IC. An in-depth analysis of architectural and engineering aspects of IC was conducted in a selection of facilities.

Products:

  • Comprehensive review protocol and tools for TB infection control assessment;
  • Infection control review reports for countries with a high burden of TB.

Next steps:
Each country should develop a strategy for strengthening IC based on the review. This project will result in tailored technical support to each country participating in the review for IC.

Donor: US Agency for International Development

Monitoring and Evaluation

1. Prevalence Surveys
When: 2010-2011
Countries: Cambodia, China, Lao PDR
Objectives:
Description:

Prevalence surveys are of particular importance in providing epidemiological evidence on the programmatic impact of the TB control strategy in the last decade…
Products:
Next Steps:
Donor:
Various, mainly the Global Fund

2. Workshop on Recording and Reporting for MDR-TB
When:
Nov 2010
Countries: Cambodia, China, Lao PDR, Mongolia, Papua New Guinea, Philippines, Viet Nam
Objectives:
Description:
A Regional Workshop on TB Surveillance and Impact Measurement was organized in which country data were extensively analyzed and the results have been utilized for the global estimation of TB disease burden.
Products:
Next steps:
Donor: Eli Lilly, US Agency for International Development


Technical Assistance Coordination/TBTEAM

When: March, April 2011
Countries: Lao PDR, Mongolia, Philippines
Objectives: 

  • Conduct an analysis of programmatic gaps based on past mission reports and local experts
  • Convene in-country partners to coordinate plans, human and financial resources with the National TB Programme
  • Identify a National Coordinator to manage the TA Plan

Description: Until recently, most countries have relied on ad hoc technical support, which has not always led to the desired results. The TA Plan is intended to help countries plan ahead for technical assistance, both in terms of mobilizing the needed financial and human resources, and in ensuring that the country’s priority technical needs are met.

The basis of the Technical Assistance Plan should be the National TB Strategic Plan (and include Global Fund activities). The TA Plan covers an extended period, from 1 to 5 years, depending on country preference, although it will be updated on an on-going basis during each year as needs arise, and will be formally revised at the beginning of each calendar year. The TA Plan development process begins with a review of recommendations from recent mission reports and a gap analysis. The National TB Programme (NTP) then discusses the draft plan with in-country partners. The group discusses timeframes for each mission, priority areas, financial gaps and expert names. One person within the NTP is designated to manage implementation and revision of the Plan in coordination with STB WPRO.

Products:

  • Comprehensive TA Plans over a designated period (at least 1 year)

Next steps:

  • To develop TA Plans in Papua New Guinea and Viet Nam
  • To develop a system to facilitate Plan management and implementation

Launched Dec 2010
Donor:
PEPFAR



Operational Research

1. Operational Research Grant Mechanism
When:
Launched Dec 2010
Countries:
Objectives:
Description: Recognizing the need for innovative, country-specific approaches to TB care, WHO will be providing increased support for operational research (and country capacity-building to conduct research) that assesses barriers to TB control as well as the feasibility and cost-effectiveness of related actions to address these barriers. In December 2010, WHO launched the Operational Research Grant Mechanism, which will annually request research proposals from countries for funding.

Products:

Next steps: This grant will continue on an annual basis, if funds are available. Grant recipients will be given further support once studies are completed to analyze data and use it to make evidence-based policy recommendations.

Donor: Japan, USAID

2. Grant-writing Workshop
When:
Dec 2010
Countries:
Objectives:
Description:
A grant-writing workshop was conducted in collaboration with other WHO units….
Product:
Next steps:
Donor:
In collaboration with WPRO Malaria and Vector Control Unit and TDF

Advocacy, Communication and Social Mobilization (ACSM), Partnerships and Resource Mobilization

1. Regional Workshop 
When:
Nov 7 – 11 2011
Countries: Cambodia, China, Lao PDR, Malaysia, Mongolia, Papua New Guinea, Philippines, Viet Nam
Objectives:

  • Orient participants to concepts of advocacy, communication and social mobilization for TB control.
  • Provide country staff with specific knowledge, skills, and resources to plan, implement, and evaluate effective ACSM interventions linked to specific TB control objectives in their settings.
  • Draft action plans specific to their settings and create follow-up technical assistance plans for moving forward with ACSM

Description:
Advocacy, Communication and Social Mobilization (ACSM) is considered an essential cross-cutting approach to supporting all six components of The Stop TB Strategy. Indeed, the ACSM Framework for Action 2006-2015, developed by the WHO Stop TB Department and Stop TB Partnership, calls for significant scale-up of ACSM activities in order to achieve the global targets set forth in the Global Plan to Stop TB 2006–2015. ACSM is also one of the main areas supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). Through Round 10, ACSM has been its own Service Delivery Area, constituting a noteworthy portion of grant programme funding.

STB WPRO will hold a workshop in coordination with PATH with NTP Managers, ACSM or communications focal points within NTPs and community representatives. This workshop will be quite different from the last one held in 2006 in that it will be a practical training on how to develop an ACSM strategy from problem analysis to measurement.

Products:

  • The beginning of an ACSM strategy

Next steps:
Countries who do not already have good ACSM strategies should develop one that is fully integrated into the National Strategic Plan (or amend the Plan to include ACSM interventions).

Donor: USAID, PATH, Japan

2. Global Fund Round 11 Proposal Workshop
When:
Countries:
Objectives:
Description:
Products:
Next steps:
Donor: