Systematic Approach to Engaging Hospitals: Philippine Experience “Seventh Meeting of the Subgroup on Public-Private Mix for TB Care and Control “ Lille, France, October 23 - 24, 2011 ROSALIND G. VIANZON, MD, MPH NTP Manager Department of Health, Philippines
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Systematic Approach to Engaging Hospitals:
Philippine Experience
“Seventh Meeting of the Subgroup on Public-Private Mix for TB Care and Control “
Lille, France, October 23 - 24, 2011
ROSALIND G. VIANZON, MD, MPH
NTP Manager
Department of Health, Philippines
Flow of Presentation:
DOTS Implementation
Public-Private Mix DOTS (PPMD)
Engaging large hospitals
Started in 1996 in the public health sector
and expanded up to 2002
Good treatment success but still low in CDR
of new Sm+s; (“missing cases”)
Mainly from the Public Sector; Needs to be
expanded beyond public sector
Private sector needs to be engaged due to
wide variations in case management
DOTS in the Philippines
Analysis of the DOTS Implementation
DOTS is feasible, with the Public Sector setting the direction
potential sources: private clinics/MDs
PhilCAT aided in enticing private sector
PPMD started in 2004; CDR rose to 70%
Contribution to CDR: 10-12% (local)
6-8% (national)
Private participation may either be:
A) through referral of their cases
B) through actual DOTS service provision
Department Order No.154 s.,2004
“Operational Guidelines on PPMD”
PPMD Seal
Memo #45 s.2004 – “DOTS Certification”
A.O.#26 s.,2006 – “Implementing Guidelines on DOTS Certification” PhilHealth Circulars on Accreditation
Supporting Policies and Structures
National Coordinating Committee on PPMD (NCC) (IDO-DOH - - -PhilCAT- - -PhilHealth)
Regional Coordinating Committee on PPMD (RCC) (CHD-DOH---Regional Private/Coalition Counterpart---Regional PhilHealth)
Province/City Health Office (PHO/CHO, NTP Coordinators, Local Coalition Members)