‘‘Accelerating Accelerating

engagement of all care engagement of all care

providersproviders’’

KNCV; what will we do KNCV; what will we do

more and better?more and better?

Jan Voskens, 6th Meeting

Subgroup on PPM for TB Care & Control, 2010, Istanbul

KNCV Tuberculosis Foundation

Established in 1903 in the Netherlands (as a PPP)

Its mission:

– Global elimination of tuberculosis

through effective tuberculosis strategies,

leading to sustainable TB control

Core activities:

g Program support

g Human resource development

g Policy development

g Epidemiological and operational research

g Strengthening awareness building and Fundraising

Active in more than 40 countries in Europe, Africa, Asia and Latin-America

Active in more than 40 countries

SP 2010-2014: Current challenges

� stagnation in case detection rates

� health system limitations

� weak linkages between TB programs and broader health systems

� increasing complexity related to multi-faceted Stop TB Strategy

� sustainability

General Strategic Directionsas outlined in draft KNCV SP 2010-2014

In addition to the specific TB technical challenges,

KNCV will address broader health system related issues such as:

– deficient case finding,

– inequitable access,

– quality of service delivery and

– quality of TB referrals and service delivery by all actors within the health system.

5 Strategic Directions for 2011-2015

1. Evidence-based planning and implementation of quality DOTS;

2. Full integration of PMDT and TB/HIV approaches;

3. Engaging all health care providers to provide equitable and universal access to quality TB care and/or appropriate referrals;

4. Strengthening sustainability and self-reliance;

5. Involving affected communities and civil society.

TB Case load in a Teaching Hospital (A)

referred referred

SS+ SS- EP Pediatric TB

TB Case load in a large Teaching Hospital (B)

SS+ relaps SS- EP Pediatric TB

referredreferred referred

Treatment performance in hospital B

TB Caseload in a Teaching Hospital ( C )

SS+ relaps SS- EP Pediatric TB

referred referred referred

Treatment performance for new SS+ patients

in hospital C

WHAT SHOULD WE DO MORE AND BETTER ?

Get data / evidence on

� The role and performance of non-NTP providers

� Best practices / strategies

Use this evidence for planning and advocacy

Include HRD for private sector / non-NTP providers in national HRD plans.

More work on regulation / certification / accreditation of providers

Explore the potential of local health insurance mechanisms for sustainable funding for TB

Thank you!

Feel free to give your inputs.

Have a productive meeting !!