‘ ‘ Accelerating Accelerating engagement of all care engagement of all care providers providers ’ ’ KNCV; what will we do KNCV; what will we do more and better? more and better? Jan Voskens, 6 th Meeting Subgroup on PPM for TB Care & Control, 2010, Istanbul
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‘Accelerating engagement of all care providers ’ KNCV; what will … · KNCV Tuberculosis Foundation Established in 1903 in the Netherlands (as a PPP) Its mission: – Global
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‘‘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