Transcript Large Hospitals - Stop TB Partnership | Home Page

Large Hospitals
DEWG – Group Work Report
Participants
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Indonesia
Philippines
South Africa
Viet Nam
Korea
China
Partners: KNCV, WHO, Gates
Current Situation
• Cases are often undiagnosed and those that are often not
reported to NTP
• Many large hospitals are not part of NTP nor laboratory
network
• Poor internal linkages – coordination within hospital between
wards and unit
• Poor external linkages – referral, reporting and treatment
between hospitals and NTP/local facilities,
• Difficult for NTP to penetrate large hospitals as they are under
different administrative supervision
• Many opportunities to screen high risk groups for TB since
they can concentrate in large hospitals (diabetes, HIV, OB
wards)
• Not following international standards for detection, treatment
and may lack diagnostic capabilities
Scaling Up
• Some pilot projects starting to look at bringing
large hospitals into the NTP reporting system
and strengthening referral systems and even
establishment of DOTS clinics
– Philippines
– Indonesia hospital-DOTS linkage program piloted
being scaled up nationally
– China passed reporting laws and implemented an
internet-based system to improve reporting
• Using ISTC to promote best practices among
diagnosing physicians
Action Steps to Achieve Early and
Enhanced Case Detection
• Assessment tools to define the current situation
and advocate hospital involvement (NTP and
hospitals supported by partners)
• Higher level government mandate (MOH, other
ministries) with to ensure collaboration between
hospital and NTP (NTP initiate, but higher level
MOH)
• Build partnerships with hospital and professional
organizations (NTP, National STBP)
• Intensified TB case finding amongst high risk
groups in hospitals (hospital and medical
schools, accreditation bodies, research groups)
Action Steps to Achieve Early and Enhanced
Case Detection
• Build internal linkage within hospitals, including reporting
(including laboratories), referral, treatment (Hospitals)
• Build external linkage between hospitals and NTP, (NTP,
hospitals, MOH)
• Designating focal person or group to support these internal
and external linkages (Hospitals, NTP)
• Build capacity to increase adherence to international
standards and build appropriate diagnostic capabilities,
(NTP, professional societies, partners)
• Enforce timely TB case notification of all cases (eg. web
based technologies) (MOH and implemented by hospital)