Engaging All Care

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Engaging All Care Providers in TB Care
and Control Role of Professional Associations
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Organizations Responsible for ISTC
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ISTC Development Process

• Funded (Oct 1, 2004) by USAID via TBCTA
• Steering Committee 28 members / 14 countries
• Cochairs M. Raviglione (WHO) / P. Hopewell (ATS)
• Process coordinated by ATS
• Evidence-based with six systematic reviews
• Ten drafts prior to final
• Final document December 2005--but is a living
  document
• Patients Charter for TB Care developed in tandem
• Launch on World TB Day--March 24 2006

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J.W. Lee, Director General, World Health
Organization March 24, 2006
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The Global Strategy to Stop TB
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ISTC Test Sites

• India
• Indonesia
• Kenya
• Mexico
• Tanzania

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(No Transcript)
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ISTC Languages

• English
• French
• Spanish
• Russian
• Chinese

• Indonesian
• Vietnamese
• Japanese
• Khmer
• Thai

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How is ISTC being used?

• Serving to unite public and private sectors in
  providing a uniformly accepted level of care for
  all patients with, or suspected of having, TB by
  describing the essential elements of TB care that
  should be available everywhere
• Providing a focus for mobilizing professional
  societies globally in support of TB programs
• Serving as a powerful advocacy tool to ensure
  that the essential elements are available
• Presenting a core for medical and nursing school
  curricula and for continuing medical education
  and
• As a guide for policy makers and donors.

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Editorial, Lancet Infectious Diseases Nov, 2006

• In this month's issue of The Lancet Infectious
  Diseases we publish the International Standards
  for Tuberculosis Care. When national tuberculosis
  control programmes and individual clinicians
  apply these standards correctly,
  multidrug-resistant tuberculosis andthe recently
  definedextensively drug-resistant (XDR)
  tuberculosis should not develop---.

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Role of Professional Societies

• Professional societies can serve as valuable
  collaborators with TB programs
• Serving as conduits to their private sector
  members to disseminate information (such as the
  ISTC)
• Giving credibility to TB programs
• Providing technical assistance to TB programs
• Conducting training activities
• Exerting peer pressure and
• Advocating for appropriate resources and
  policies.

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Goal of the Meeting

• To mobilize professional associations to help
  foster effective collaboration between national
  TB programmes and private health care providers.
• How can this be accomplished?
• Develop a professional society network
• Provide funding (10,000 each) to selected
  professional societies to develop a work plan for
  coordinated activities with their respective
  NTPs
• Provide technical assistance for work plan
  development.

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ISTC Tools and PCTC