Overview of the Workshop on Strengthening PMDT Case Finding, Case Holding and Referral System

Department of Health – National TB Control Program Background MDR-TB cases are costly and difficult to treat Improper management and poor referral system may lead to transmission, development of XDR-TB and death We need to implement a program that will detect most of the MDR-TB cases and ensure that they receive quality care We need to ensure that they complete their treatment and adverse reactions are addressed Department of Health – National TB Control Program

Department of Health – National TB Control Program Expected Outputs Flow diagram of the existing PMDT case finding, case holding and referral system in DOTS facilities List of gaps and issues in PMDT case finding, case holding and referral system Regional, provincial and city/municipal strategies and activities to address identified gaps Department of Health – National TB Control Program

Department of Health – National TB Control Program Expected Outputs List of the roles and responsibilities of the different stakeholders and development partners in each aspect of PMDT implementation based on gap analysis Implementation plan of strategies and activities Proficiency in proper sputum packaging and transport of specimens Department of Health – National TB Control Program

Department of Health – National TB Control Program Workshop Objectives To analyze the existing processes and procedures involved in case finding, case holding and referral To discuss the ideal set-up of a PMDT facility (RHU level or TC/STC level) To identify issues and gaps that impede effective case finding, case holding and referral Department of Health – National TB Control Program

Department of Health – National TB Control Program Workshop Objectives To address identified issues and gaps through a participatory approach To develop an enhanced PMDT referral system Department of Health – National TB Control Program

Department of Health – National TB Control Program Program of Activities Day 1 Time Activity/Session 8:00 AM – 8:30 AM Registration 8:30 AM – 9:30 AM Opening Program Singing of the Philippine National Anthem Welcome Messages Setting of Expectations Overview of the Workshop 9:30 AM – 10:30 AM Workshop 1: Review of the Existing Referral System or Case-holding Mechanism Plenary Presentation for Workshop 1 10:30 AM – 12:30 PM Visit to a Treatment Center or Satellite Treatment Center 12:30 PM – 1:30 PM Lunch Department of Health – National TB Control Program

Department of Health – National TB Control Program Program of Activities Time Activity/Session 1:30 PM – 4:00 PM Input 1: Background on DRTB and PMDT Input 2: Case-finding and Referral Procedures Input 3. Other Indications for Xpert MTB/RIF Testing Input 4: Case Holding for PMDT  4:00 PM – 5:00 PM Workshop 2: Identification of Gaps and Issues in Case Finding, Referral Procedures and Case Holding   Department of Health – National TB Control Program

Department of Health – National TB Control Program Program of Activities Day 2 Time Activity/Session 8:00 AM – 8:15 AM Recapitulation of Day 1 Activities 8:15 AM – 9:00 AM Workshop 3: Finding Solutions 9:00 AM - 11:00 AM Workshop 4: Stakeholders’ Roles and Responsibilities in PMDT 11:00 AM – 12:00 NN Plenary Presentation of Workshops 2, 3 and 4 Outputs 12:00 NN – 1:00 PM Lunch 1:00 PM - 3:00 PM Workshop 5: Development of Enhanced Two-way PMDT Referral System Plenary Presentation of Workshop 5 Outputs 3:00 PM – 5:00 PM Demonstration and Return Demonstration of Proper Sputum Packaging   Agreements and Next Steps Closing Program Department of Health – National TB Control Program

END OF PRESENTATION