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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. END OF PRESENTATION