Philippine

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Wednesday, May
15, 2019
8:36 am

A Tuberculosis-free Philippines
Zero deaths, disease, and suffering due to tuberculosis

Long Term Goal (2035):

Reduce TB burden by decreasing TB mortality by 95% and TB incidence by 90%.

Medium Term Goals (2022):

Reduce TB burden by:
Decreasing the number of TB deaths by 50% from 22,000 to 11,000
Decreasing TB incidence rate by 15% from 554/100,000 to 470/100,000
Reduce catastrophic costs incurred by TB-affected households from 35% to 0%.
At least 90% of patients are satisfied with the services of the DOTS facilities.
 Specific objectives by 2022
1. Improve the utilization of TB care and prevention services by patients and communities.
2. Reduce catastrophic cost of TB-affected households accessing DOTS facilities to 0%.
3. Ensure adequate and competent human resources for TB elimination efforts.
4. Improve the use of TB data for effective TB elimination efforts.
5. Enhance quality of all TB care and prevention services.
6. Increase to at least 90% of DOTS facilities that are providing expanded integrated patient centered TB care and
prevention services.
7. Enhance the political stewardship through high-level political commitment of national government agencies and
LGUs to implement localized TB elimination plan in coordination with different sectors.

About NTP

The National TB Control Program, organized in 1978 and operating within a devolved health care delivery system, is
one of the public health programs being managed and coordinated by the Infectious Diseases for Prevention and
Control Division (IDPCD) of the Disease Prevention and Control Bureau (DPCB) of the Department of Health (DOH).
Headed by a program manager and supported by 20 technical and administrative staff, it has the following mandate:
(1) develop policies, standards and national strategic plan, (2) manage program logistics, (3) provide leadership and
technical assistance to the lower health offices/units, (4) manage data, and (5) conduct monitoring and evaluation. The
program's TB diagnostic and treatment protocols and strategies, issued through the Manual of Procedures, are in
accordance with the policies of World Health Organization (WHO) and the International Standards for TB Care (ISTC).
Its last strategic plan was the 2010-16 Philippine Plan of Action to Control TB or PhilPACT.

The NTP closely works with various offices of the DOH, such as the National Center for Health Promotion (NCHP) for
advocacy, communication, and social mobilization; the Epidemiology Bureau (EB), and the Knowledge and Management
Information and Technology Services (KMITS) for data management; Health Policy Development and Planning Bureau
(HPDPB) for policy and strategic plan formulation; Material Management Division (MMD), Central Office Bids and Awards
Committee (COBAC) and Food and Drug Administration (FDA) for drug and supplies management; the National TB
Reference Laboratory of the Research Institute for Tropical Medicine (NTRL-RITM) for laboratory network management;
Lung Center of the Philippines (LCP) for PMDT-related researches and training activities and the 17 regional offices
(ROs) for technical support to the provincial health offices (PHO) and implementing units; and the Philippine Health
Insurance Corporation(PhilHealth) for the TB-DOTS accreditation and utilization of the TB-DOTS outpatient benefit
package.

The 17 ROs through its regional NTP teams manages TB at the regional level while the PHOs and city health offices
(CHOs), through its provincial/city teams are responsible for the TB control efforts in the provinces and cities. TB
diagnostic and treatment services are part of the basic integrated health services which are provided by DOTS (Directly
Observed Treatment, Short Course, current means of delivery of treatment Services) facilities which could either be the
public health facilities, such as the RHUs, health centers, hospitals; other public health facilities, such as school clinics,
military hospitals, prison/jail clinics; NTP-engaged private facilities, such as the private clinics, private hospitals, private
laboratories, drugstores and others. Community groups, such as the community health teams and barangay health
workers participate in community-level activities.

NTP closely works with the 17 government offices and 5 private organizations in compliance with the Comprehensive
and Unified Policy (CUP) issued by the Office of the President in 2003. Under the framework of public-private mix (PPM)
collaboration in TB-DOTS, NTP collaborates with non-governmental organizations, such as the Philippine Coalition
Against TB (PhilCAT), a consortium of 60 groups, and the 100-year old Philippine TB Society, Inc. (PTSI) and many
others. Various developmental partners and their projects provide technical and financial support to NTP, such as the
World Health Organization (WHO), United States Agency for International Development (USAID), Global Fund Against
AIDS, TB and Malaria (Global Fund), Research Institute of TB/Japan Anti-TB Association (RIT/JATA), Korean Foundation
for International Health (KOFIH) and Korean International Cooperation Agency (KOICA) and KNCV Tuberculosis
Foundation.

Program Accomplishments

Tables below show the status of the various targets (impact, outcome, outputs and performance targets) set to be
accomplished in 2016 through 2010-s2016 PhilPACT implementation.

In support of the Millennium Development Goals (MDGs), three (3) impact targets were adopted by the Stop TB
Strategy to monitor the progress of implementation. Philippines as one of the Member States of the United Nations
adopted also the said impact indicators in PhilPACT. These targets are decreasing the trend of the TB incidence rate and
reducing by half the TB mortality and prevalence rates against the 1990 baseline data.

By the end of 2015, based on the 2016 Global TB report of the WHO, Philippines is one of the nine high TB burden
countries that have reached the millennium development goals or MDGs. This is based on the WHO estimate prior to the
2016 NTPS. Table 1 shows the accomplishment of the Philippines in addressing the problem of tuberculosis.

Table 1.5. Status of the impact targets

Indicators Target 2015 Status

accomplishment

Incidence Rate Less than the 322/100,000 Achieved

baseline

Mortality Rate 23/100,000 13/100,000 Achieved

Prevalence 414/100,000 <414/100,000 Achieved

Rate

Source: WHO Global TB Report, 2016 (prior to 2016 NTPS)

For the outcome targets, the case detection rate and treatment success rate for drug susceptible TB were achieved
by the end of 2016. However, the targets for case detection rate and treatment success rate for drug resistant TB cases
were not achieved. Table 2 shows the accomplishment for the outcome targets.

Table 2.5. Status of the outcome targets

Indicators Target 2016 accomplishment Status

Case Detection 90% 92% Achieved

Rate, Drug
Susceptible (All
forms)

Treatment Success 90% 92% Achieved

Rate, Drug
Susceptible (All
Forms)

Case Detection 62% 32% Not

Rate,Drug Resistant Achieved
TB
 Treatment Success 75% 49%(2012 cohort) Not
Rate, Drug Achieved
Resistant TB

Source: Data submitted by the regional TB coordinators as of February 2017

Of the five (5) output targets, only two (40%) were achieved. These are the number of TB patients provided with
treatment and number of TB patients counseled and tested on HIV. See Table 3 for the status of the said indicators.

Table 3.5. Outcome Indicators

Indicators Target Accomplishment Status

No. of TB symptomatics 5.5 million 4,717,535 Not achieved;Patients who

provided with DSSM underwent examination using
Xpert MTB/Rif as a primary
diagnostic tool is not
accounted for.

No. of TB patients 1.5 million 1,701,059 Achieved

provided with treatment

No. of children provided 730,000 181,728 Not achieved; There were

with treatment or inadequate stocks of drugs for
preventive therapy children due to quality issues
of the procured drugs and low
uptake of IPT.

No. of MDR-TB detected 19,500 18,886 Not achieved due to lack of

and provided with second access to diagnostic and
line anti-TB drugs treatment facilities for drug
resistant TB cases.

No. of TB patients 45,000 57,590 Achieved

provided with PICT on
HIV/AIDS

Related Links

www.doh.gov.ph
TB Consult
GX Alert

Contact Information
 Rm. 103, Bldg. 12,
Department of Health,
San Lazaro Compound, Rizal Ave.,
Sta. Cruz, Manila 1003

 +63 (02)-310-5713 / 230-9626

 +63 (02)-230-9626
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