Key elements on the Practical Approach to Lung health

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Key elements on the Practical Approach to Lung
health

• Salah-Eddine Ottmani, MD, MPH
• Stop TB, WHO, Geneva
• NTP Manager Meeting, Muscat, Oman, 12 14 June
  2005

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Why is the Practical Approach to Lung health
(PAL) needed?

• Respiratory conditions are very common 25 33
  of patients in PHC setting
• TB cases account for a very small proportion
  among respiratory patients
• TB patients and the other respiratory patients
  have, in general, similar symptoms
• A systematic, standardized and sound approach is
  needed to correctly identify TB cases among a
  huge number of respiratory patients

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What is PAL strategy?

• Syndromic management of patients who attend
  health services for respiratory symptoms
• Focus on
• 1. PHC setting
• 2. Priority respiratory diseases gt 5
  yrs
• TB
• ARI (pneumonia)
• CRDs mainly Asthma, COPD

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What are the objectives of PAL strategy?

• PAL has 2 objectives
• 1. Improvement of the quality of care to every
• respiratory patient
• 2. Improvement of the efficiency of health care
• service delivery system to respiratory
  diseases in
• general

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What are the components of PAL strategy?

• PAL has 2 components
• 1. Standardization of health care procedures
• management and follow-up through the
  adaptation
• and development of clinical guideline
• 2. Coordination among
• health care levels
• the components of the health system particularly
  at district level

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How to introduce PAL strategy in country?

• Should be adapted to health environment of
  country
• Should follow successive steps to be developed
  and implemented

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Countries with PAL activities (June 2005)

• Countries at the preliminary phase
• Discussion Costa-Rica, Mexico, Romania,
  Venezuela
• Official request China, El Salvador
• Preliminary visit Lithuania
• Countries at the phase of adaptation and
  development
• Bolivia, Rep. Korea (South), Syria, Uganda
• Countries at the phase of feasibility test
• Algeria, Estonia, Guinea, Jordan, Peru, Tunisia
• Countries at the phase of implementation
• Chile, Kyrgyzstan, Morocco, South Africa (FSP and
  WCP)
• Operational research Nepal, Review meeting