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Program Implementation TB

The National Tuberculosis Program presented by Rhea A. Nardo highlights the increasing TB case rates from 165.91 per 100,000 in 2020 to 309.93 in 2022, with a high treatment success rate of around 95-98%. Key challenges include stigma, poor reporting, and inadequate medication supply, while plans for 2023 focus on health promotion, active case finding, and addressing loss to follow-up. Recommendations include intensifying active case finding, enhancing defaulter tracing, and increasing budget allocations for TB medications.

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7 views17 pages

Program Implementation TB

The National Tuberculosis Program presented by Rhea A. Nardo highlights the increasing TB case rates from 165.91 per 100,000 in 2020 to 309.93 in 2022, with a high treatment success rate of around 95-98%. Key challenges include stigma, poor reporting, and inadequate medication supply, while plans for 2023 focus on health promotion, active case finding, and addressing loss to follow-up. Recommendations include intensifying active case finding, enhancing defaulter tracing, and increasing budget allocations for TB medications.

Uploaded by

nightmarishdragon77
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Program

Implementatio
n Review
Program: National Tuberculosis Program
Name of Presenter: Nardo, Rhea A.,
RN
Introductio
n
Introductio
Tb is the 13th leading

n cause of death and the


second leading
"One TB case that we fail to find infectious killer after
and treat, it may spread the covid-19. (WHO)
infection to at least 10 other
people. The reservoir of
undetected TB cases will further
increase.”
- Health Sec. Francisco Doque
Accomplishmen
ts
TB Notifiable Case
Tb cases all forms/pop. x 100,000

Rate
2020: 165.91 / 100,000

2021: 213.14 / 100,000

2022: 309.93 / 100,000

Accomplishmen
TB Success
Number of Tb cases all forms cured/completed tx /total no. of
cases registered x 100

2020: 98% Rate


2021: 98%

2022: 95.86%

Accomplishmen
Gaps &
Limitations
Gaps &
Limitations
stigma

Poor reporting procedures of heath care


provider. (ACF)

Distance to health facilities/


transportation costs

Inadequate supply of Meds. For TB


infection and for TPT.
Plans and
for 2023

Targets
Plans:
PRE TREATMENT:
• Health promotion on TB program c/o Hepo Teams.
• Mapping /re survey of HCW to the following:
a.) Diagnosed with Tb who have not sought care
b.) With symptoms concerning TB
c.) Close Contact of BcTB
• Intensify Active Case Finding :
a.) A.100patient / month /RHU (CXR) c/o DIVINE RAYS
b.)A.TST for CC of BCTb. (TPT)
Plans:
LOSS TO FOLLOW UP:
• Established risk factors or reasons for drop out
• Defaulter tracing quarterly (DSSM follow up, TALF,TPT)
per RHU

POST TREATMENT:
• Reasons for relapse (remember: “Undernutrition is a major
predictor of poor treatment outcomes” Hallet.)
• linked to MSWDO for financial assistance
Targets:
• TCR (Target case Rate) = Pop. x 0.0539 x 100 ( 546 )

• TPT Ratio = no. of BCTB Notified / no. given TPT,


attain 70% covrage.
• TSR (Tb Success Rate) = no. of tb cases all
forms cured/completed / total no. of
cases registered x 100
Recommendatio
ns
Recommendatio
• Intensify ACF (esp.BCTB CC)

ns:• Maximize the FREE CXR 100/mos.

• Quarterly defaulter tracing (DSSM,TPT)

• Linked to MSWO for financial/food assistance for


ungrateful patient

• Additional 30-40% budget allocation for anti TB


Meds. to avoid OOS.
Other
Instructions
Other
• TB DOTS schedule per RHU:

Instructions
1. RHU 1 – Monday/Wednesday
2.RHU 2 – Thursday
3.RHU 3- Tuesday
• Referral Slip (RHM/PHN)
• Cured / Completed ID Card for NTP patient will
be given to RHM.
• Defaulter tracing sched.
Rhu 1: 1st week of the following quarter month
Rhu 2: 3rd & 4th week of the following quarter
month
Rhu 3: 2nd weekof the following quarter month

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