To reduce prevalence and mortality from TB by half by the year 2015.

Cure at least 85 percent of the sputum smear positive TB patient discovered. 2. Detect at least 70 percent of the estimated new sputum smear positive TB cases.
1.

A. Improve access to and quality of services provided to TB patients, TB symptomatics, and communities by health care institutions and providers.
1. 2. 3.

4.

Enhance quality of TB diagnosis Ensure TB patient treatment compliance Ensure public and private health care providers adherence to the implementation of national standard of care for TB patients. Improve access to services through innovative service delivery mechanisms for patients living in challenging areas.

B. Enhance the health seeking behavior on TB by communities especially TB symptomatics. Develop effective, appropriate and culturally responsive IEC/Communication materials. 2. Organize barangay advocacy groups.
1.

C. Increase and sustain support and financing for TB control activities.

1. 2. 3. 4.

Facilitate implementation of TB-DOTS center certification and accreditation. Build TB coalitions among different sectors. Advocate for counterpart input from local government units. Mobilize/extend other resources to address program limitations.

D. Strengthen management of TB control services at all levels.

1. 2. 3. 4. 5.

Enhance manegerial capability of all NTP program managers at all levels. Establish an efficient data management system for all public and private sectors. Implement a standardized recording and reporting system. Conduct regular monitoring and evaluation at all levels. Advocate for political support through effective local governance.

A. Findings Direct sputum smear Microscopy (DSSM) shall be the primary tool in NTP finding. B. Treatment Treatment of all TB cases shall be based on a reliable diagnostic technique namely, DSSM. Domiciliary treatment shall be the preferred mode of care.

C. Patients with the following conditions shall be recommended for hospitalization:

1. 2. 3. 4. 5. 6.

Massive hemoptysis Pleural effusion obliterating morethan one-half of a lung field. Milliary TB TB meningitis TB pneumonia Those requiring surgical intervention or with complications.

D. All patients undergoing treatment shall be supervised. No patient shall initiate treatment unless the patient and DOTS facility staff have agreed upon a case holding mechanism for treatment compliance. E. The national and local government shall ensure provision of drug to all smear-positive TB cases. The two formulation of drugs: 1. Fixed Dose Combination- two or more first line anti TB drugs are combined in one tablet. There are 2, 3 or 4 drug fixed dose combinations. 2. Single Drug Formulation- each drug is prepared individually. INH, ethambutol and pyrazinamide are in tablet form while rifampicin is in capsule form.

F. Quality of FDCs must be ensured. It must be ordered from a source with a track record of producing FDC according to WHO-prescribed strength and standard of quality. G. Treatment shall be based on recommended category of treatment regimen.

Sustained political commitment Access to quality-assured sputum microscopy Standardized short-course chemotherapy for all cases of TB under proper case management conditions, including direct observation of treatment Uninterrupted supply of quality-assured drugs Recording and reporting system enabling outcome assessment of overall program performance

Together with other NTP staff/workers, manage the procedures for case-finding activities. Assign and supervise a treatment partner for patient who will undergo DOTS. Supervise rural health midwives (RHMs) to ensure proper implementation of DOTS. Maintain and update the TB Register.

Facilitate requisition and distribution of drugs and other NTP supplies. Provide continuous health education to all TB patients placed under treatment and encourage family and community participation in TB control. In coordination with the physician, conduct training of all health workers. Prepare, analyze and submit the quarterly reports to the Provincial Health Office or City Health Office.

Prevention Casefinding Caseholding and Treatment

Interview and Open treatment cards for identified tuberculous children Perform tuberculin testing and reading to eligible children Maintain NTP records

Manage requisition and distribution of drugs Assist the physician in supervising the other health workers of the RHU in the proper implementation of the policies and guidelines on TB in children Assist in the training of other health workers on Tubercullin testing and reading.