Country progress towards ending tuberculosis : experience of the … · 2019-05-21 · Wolfheze Workshops Translating the TB UN High-Level Meeting Commitments into Actions 15 –17

Wolfheze Workshops

Translating the TB UN High-Level Meeting Commitments into Actions

15 – 17 May 2019, The Hague, Netherlands

Country progress towards ending tuberculosis :

experience of the Republic of Moldova

Valentina Vilk

NTP coordinator

Priority directions of activities for ending tuberculosis in the Republic of Moldova

• Ensuring universal access to early diagnosis of all forms of tuberculosis

• Ensuring universal access to TB treatment with the use of patient-centered approaches

• Implementation of activities jointly with other national health programmes

• Provision of TB prevention measures

• Consolidation of the health system capacity to effectively control tuberculosis

• Development and application of new tools and innovative approaches to tuberculosis control

• Strengthening the involvement of local communities and civil society organizations in tuberculosis control using patient-centered approaches

Achievements of the national response measures

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Methods of

diagnostics and treatment

M & E system

Providers

New models of care delivery

НПТ 2006 - 2010НПТ 2001 - 2005 НПТ 2011 - 2015 НПТ 2016 - 2020

DOTS

Strengthening laboratory service

DOTS Plus

Xpert MTB/RIF

SIME TB

Ongoing training of the PHC workers, specialists

PHC financing : performance indicators

Incentives for patients

Social models: community centeres, NGOs

Active TB detection in risk groups

m-Health VOT

Ambulatory treatment from day 1

Optimization of inpatient care

НПТ 1996-2000

Reduction in risk of TB transmission

Number of TB inpatient beds,

(2007 – 2018)

VOT

Active TB detection

Use of mobile X-ray units for examination

of the rural population

Involvement of NGOs and local

authorities

TB detection at the PHC level

Standardized clinical protocols for family physicians :• “TB in adults" • “Childhood TB" • “TB prevention"

RM. Joint effort of state and civil society actors in the early detection of active TB among contacts and high-risk groups(Compendium of good practices in the implementation of the Tuberculosis Action Plan for the WHO European

Region 2016–2020, WHO 2019)

Best practices from the Republic of Moldova reflected in the WHO publications

Audit of TB control

system in the Republic of

Moldova

Use of the GeneXpertMTB/RIF assay decreased

delays of treatment for MDR-TB patients in the

Republic of Moldova

Good practice in providing access to

adequate TB diagnosis and treatment to homeless people

«Fast-Track TB/HIV responses for key

populations in EECA cities»

Good practice in generating

evidence on the effectiveness for improving health

outcomes

Patient-centered integrated model of

TB, HIV/AIDS care and opioid dependence

therapy

Interaction and collaboration of the

national partners in TB detection and

diagnostics among inmates of the prison

system

Improving TB treatment

adherence and increasing TB

awareness

End TB

Lessons learnt

Collaborative efforts of

various partnersPolitical

commitment

АdvocacySustainability and

accessibility

• Further introduction of new treatment regimens

• Further improvement of financial mechanisms

• Procurement of TB drugs and supplies for microbiological tests at the international platforms (GDF), which will allow the Ministry of health, labor and social protection to get access to much better prices and quality

Next steps

Thank you for your attention!