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Strengthening TB Control: KZN PEPFAR Meeting Strategies for 2011-2013

This document outlines strategic objectives and activities from the KZN PEPFAR meeting held on November 28, 2011, focusing on tuberculosis (TB) prevention and control. Key initiatives include strengthening public-private partnerships, expanding TB services in the business sector, training healthcare workers (HCWs) in TB diagnosis and treatment, enhancing infection control, and implementing better TB management practices. The goals emphasize increasing awareness, improving case tracking, and providing robust support for TB-HIV co-infection management through community outreach and training programs.

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Strengthening TB Control: KZN PEPFAR Meeting Strategies for 2011-2013

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  1. TB CONTROL PROGRAMMEKZN PEPFAR Meeting TBC Focus Areas and Activities 2011 & 2012/2013 28th November 2011

  2. NSP Strategic Objective 1, 2 & 4 Activities • Strengthen Public Private partnerships • Expand TB services in business sector (occupational health clinics) • Strengthen partnerships with traditional healers • Train in TB diagnosis, treatment, DOT Establish R&R systems • Strengthen Infection control in health facilities and community • Train HCWs in TB Infection control • Conduct IC facility assessments • Minor alterations (windows, fans, outside waiting areas etc) • IC ACSM - Develop and print posters, pamphlets' (cough hygiene, open window policy) • Intensify door to door campaigns, and radio advert / phone in shows • Strengthen and support IPT • Train HCWs in IPT guidelines • Develop HCW wall posters, pocket books for TB Screening, IPT treatment guidelines

  3. NSP Strategic Objective 3 Activities • Expand Gene Expert roll-out (Procure and Train staff in Screening algorithms ) • Improve implementation of suspect register • Train facility staff in usage • Train facility staff in the completion of the monthly / quarterly statistical sheet, and analysis thereof • Intensify M&E of implementation and data analysis • Improve contact tracing • Improve awareness for contact tracing • Strengthen system for contact tracing = development and printing of tracing register and reporting forms (systemize) • Intensify M&E of implementation and data analysis • Improve implementation of treatment calendar / diary system • Train HCws in usage of treatment calendar / diary system • Develop, Print treatment calendar diary system • Targeted High Burden TB Facilities = 250 cases PA • HR , Staffing norms – 1 nurse per 250 cases PA • HR, Train HCWs • Intensified Case Find • Implementation of suspect register in all facilities • Training - NTCP Guidelines In Service • Ongoing • Treatment calendar / diary system implemented • System to track patient return dates, and identify defaulters quickly

  4. NSP Strategic Objective 3 cont.. Activities • Target high burden facilities = registering ≥200 cases pa • HR – Staffing norms, 1 nurse per 250 patients registered into Rx pa • Train HCWs in NTCP guidelines • Train HCWs in TBHIV combined management (Strengthen CPT, CD4 count and ART initiation in particular) • Develop HCW wall posters, pocket books for TB Screening / diagnostic algorithms, TB treatment regimens, CPT screening algorithms, and treatment guidelines • Improve ART uptake in TB / MDR TB patients • Train HCWs in ART • Improve R&R, and intensify M&E • Improve point of care TB /MDR TB education and adherence counseling • Train HCWs in counseling • Develop, print TB / MDR educational flip charts

  5. NSP Strategic Objective 3 cont.. Activities • Intensify ACSM for TB / MDR TB (Signs & Symptoms, Diagnosis = Early health seeking behavior, Treatment adherence, IC = prevention)) • Develop and print posters, pamphlets' • Intensify door to door campaigns, and radio advert / phone in shows • Kick TB in schools • Expand decentralized and community based management of MDR TB • Identify, and develop additional decentralized and satellite MDR TB units (x-ray, audiology, rehab equipment etc) • Establish TBHIV community outreach teams (Tracers, mobile injection teams) • Train all HCWs in MDR TB guidelines (particularly side effect management MDR/ART)

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