Identification of Programmatic Gaps/ Issues and Recommendation to Enhance NTP toward Post MDG goal

Establishing Sputum Courier System

Developing courier mechanism for sputum collection- test of all retreatment cases in Gene-Xpert,

Sputum collection from the health facility without MC, Collection of sputum from hard to reach and

vulnerable population, sputum collection of MDR cases from MDR centers

and sub centers

Strengthening Laboratory Network Measures of reactivating non functioning lab Identifying proper outlets in the district for establishment of

Gene-Xpert and its optimal use for out reach and vulnerable population and retreatment cases- in view of role and responsibility of DTLO, lab and partners

Identifying Effective and rational role and responsibility of Lab in TB control

Identifying Laboratory strengthening measures in view of infection control, utilization of full capacity of MC (reaching target of suspect examination)

Infection Control measures at health facility level

Enhance TB Case Finding and Management

Identifying effective methods of tracking and putting Initial Defaulter in TB treatment-First line and second TB

Mapping vulnerable population of TB in district Additional approaches and activities to increase TB case

finding in districts Effective implementation of microscopic camp Identifying ways of increasing TB suspects cases in OPD

to increase lab test in the MC performing below capacity.

Identifying ways of testing HIV to all TB patients

Meaningful Involvement of Community in TB Control

Identifying effective ways to involve community volunteers in TB case finding and holding

Identifying ways of meaningful involvement of Community in planning and monitoring and management of TB programme

Enhancing Community Based DOTS

Strengthening coordination with NTP partners and private sector towards achieving NTP goal

Identify the role and responsibility among NTP partners(I/NGOs) and DHO/DPHOs and RHDs towards achieving post MDG goal

Issues and challenges in effective coordination and cooperation among NTP partners and DHO/DPHOs and RHDs

Monitoring and Supervision

Revitalizing effective supervision and M&E system( data quality) in districts-

Challenges and solutions while establishing NTP R&R in HMIS

Further strengthening measures to M&E System of NTP

Format for Group Presentation

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Subject/ Topic discussed

Identified Gaps/challenges/issues

Identified interventions/activities

Responsible person and organization

1 12

1234

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While preparing this plan following should be acknowledged: high impact in TB control, physibility and sustainability

Group 1: Establishing Sputum Courier System

Kailai BhojpurBardiya MorangDailekh KhotangArgakhachi DolpaTanahu BhaktpurBara MuguSidhupalchowk DhankutaRamechhap

Group 2: Strengthening Laboratory Network

Kanchanpur UdayapurDoti IllamRupandehi SindhuliSyanja SarlahiManang DadeldhuraChitawan DangParsa BaglungSolukhumbu

Group 3 : Enhance TB Case Finding and Management

Nuwakot AchhamOkhaldhunga KaskiJhapa MustangSalyan ParbatPyuthan GorkhaMakanwanpur HumlaRasuwa DolakhaSurkhet Siraha

Group 4 : Meaningful Involvement of Community in TB Control and Strengthening coordination with NTP partners and private sector towards achieving NTP goal

Kavre JajarkotSunsari MyagdiDarchula KapilbastuBajhang Banke Rasuwa TerhathumDhading TaplejungPalpa GulmiSiraha Saptari

Group 5: Monitoring and Supervision

Rautahat RukumKathmandu JumlaSankhuwasabha KalikotBaitadi NawalparasiBajura MahottariLalitpur DhanushaLamjung PachtharRolpa

Resource Persons

Dr. Pant Dr. Verma Dr. Prasai Dr. Mezzabotta

Facilators

Group 1: Dr. Bhawana, Kamala Wagle, Group 2: Mr. Gokarna, IoM Group 3: Mr. Sagar Ghimire, Rabin Khatiwada Group 4: Ms Anita Shah, Sujit Sah Group 5: Mr. Arun, Ratna, Bimal