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DESCRIPTION
The NTP is one of the public health programs being managed and coordinated by the Infectious Diseases for Prevention and Control Division (IDPCD) of the Disease Prevention and Control Bureau (DPCB) of the DOH. The NTP has the mandate to develop TB control policies, standards and guidelines, formulate the national strategic plan, manage program logistics, provide leadership and technical assistance (TA) to the lower health offices/units, manage data, and monitor and evaluate the program. The program’s TB diagnostic and treatment protocols and strategies are in accordance with the global strategy of STOP TB Partnership and the policies of World Health Organization (WHO) and the International Standards for TB Care (ISTC).
 
  
 
VISION
TB-free Philippines
 
 
 
 
MISSION
  • Reduced TB burden- TB mortality and TB incidence
  • Zero catastrophic cost
  • Responsive delivery of TB services

 

 OBJECTIVES
  1. Improve the utilization of  TB care and prevention services by patients and communities.
  2. Reduce catastrophic cost of TB-affected families accessing DOTS facilities to zero.
  3. Ensure adequate and competent human resources for TB elimination efforts.
  4. Improve the use of TB data for  effective TB elimination efforts.
  5. Guarantee that all TB diagnostic and DOTS facilities are complying with NTP standards and with adequate quality TB products.
  6. Increase to at least 90% of DOTS facilities that are providing  integrated patient centered TB care and prevention services.
  7. Enhance the capacities of  all LGUs to implement localized TB elimination plan in coordination with different sectors. 
 
 PROGRAM COMPONENTS
  1. Public-private mix DOTS (PPMD) – Engagement of the private sector such as private practitioners, pharmacies, and hospitals to adopt the NTP policies and guidelines and, hence, support the TB control efforts.  PPMD staff were trained on TB-DOTS including the referral system.  They either manage TB cases or refer them to other DOTS facilities.  Around 6% of total TB cases nationwide were contributed by this initiative in 2008.
  2. Enhanced hospital TB-DOTS – Strengthening of the internal and external referral systems and quality of TB diagnosis and treatment in hospitals.10  Hospitals could either act as a referring hospital or DOTS-providing hospital.  All or most of the TB cases are referred to the DOTS facilities and the outcomes are tracked. A pilot study from 2010-2012 showed that 73% of around 13,000 TB cases were successfully referred to health centers and RHUs.
  3. Programmatic Management of Drug-resistant TB (PMDT) – Provision of diagnostic and treatment services to drug-resistant TB through the treatment centers, satellite treatment centers and treatment sites.  The NTP coordinates PMDT while the Lung Center of the Philippines (LCP) is responsible for research and capability-building.  In 2012, only 23% of estimated MDR-TB cases had been provided with quality assured second line anti-TB drugs.
  4. TB HIV collaborative activities – Close coordination between the NTP and National AIDS/ STI Prevention and Control Program (NASPCP) to provide services to those patients with TB and HIV co-infection.     Key activities include provider-initiated HIV counselling and testing (PICT) for TB patients and screening for TB among people living with HIV (PLHIV).
  5. TB in jails/prisons - Ensuring access to TB diagnosis and treatment by the inmates of jails and prisons.  The Department of Justice (DOJ) through the Bureau of Corrections (BuCor) and the Department of Interior and Local Governments (DILG) through the Bureau of Jail Management and Penology (BJMP) coordinates with DOH in implementing this program.
  6. TB-DOTS certification and accreditation – Ensuring the provision of quality TB services and generating financial support through the PhilHealth TB-DOTS outpatient benefit package.  DOTS facilities are certified by DOH through the ROs based on ten DOTS standards.  These facilities are later accredited by PhilHealth.  Reimbursements amounting to PHP 4, 000 per new TB patient from PhilHealth could be used for the referring physician, purchase of other drugs, support for EQA, monetary incentive to health workers and other activities that will improve program implementation.
  7. Expansion of TB laboratory services – Enabling better access to TB microscopy services through the establishment of more TB microscopy centers such as those in the hospitals and in the private sector.    There are currently 18 culture centers.  Plans are underway to  expand this number to 29 culture centers  by 2016.  There are currently three (3) DST centers, with plans equally underway to expand to seven (7) by 2016. Sixteen health facilities were provided with Xpert MTB/RIF – a new rapid diagnostic tool that detects rifampicin resistance in just two hours. There are plans to expand access to Xpert MTB/ RIF through the provision of at least one (1) machine per province or highly urbanized city.
  8. Community TB care – Ensuring community participation to improve TB diagnosis and management.  TB task forces consisting of former TB patients, community volunteers and members of faith-based organizations were organized to educate the community about TB, refer presumptive TB to DOTS facilities, and act as treatment partners.  This also includes the formation and strengthening of TB patient support groups.
  9. Integrated TB Information System- ITIS, the electronic TB information system of the National TB Control Program serves as the official information system of reporting for all routine NTP report which allows real time generation of data that can be used in planning, decision- making and allocation of logistics.
  10. Integrated DOTS- This initiative aims to cater both DS and DRTB patients bringing services such as screening, diagnosis and treatment closer to the patients. This service is linked to Treatment Centers/ Satellites and Rapid TB Diagnostic Laboratories and is lodged in RHUs and Health Centers.
  11. TB DM- Diabetes mellitus is a known risk factor for TB, and with the increasing prevalence of type 2 DM, many patients with TB will have concomitant DM. Region IX has started to implement this initiative by screening TB patients for DM. 
 
  
TARGET POPULATION/CLIENT
21, 585
(Projected Population x Incidence Rate)
3,896,152 x .00554
 
 
 
AREA OF COVERAGE
Regionwide
(3 Provinces and 2 Highly- Urbanized Cities)
  
 
 
 
PARTNER INSTITUTIONS
  1. Camp Navarro Gen. Hospital 
  2. Mindanao Central Sanitarium  
  3. ZCMC  
  4. BJMP        
  5. PBSP
  6. Labuan Public Hosp.  
  7. Northern Subanon Tribe
  8. PMSA Zambo. Del Norte
  9. DepEd
  10. Ateneo de Zambo. University
  11. LCEs
  12. Community Based Health Program
  13. IMPACT- USAID  
  14. Mindanao Central Sanitarium
  15. DOST
  16. Labuan Public Hosp.
  17. DSWD
  18. Phil. Pharmacy Assoc.
  19. Rotary Club, ZC
  20. Bureau of Correction
  21. WMSU
  22. DOT
  23. Culion Foundation Inc.
  24. LGUs
  25. Hermosa TB Council
  26. Basilan General Hospital
  27. ZaNorte Medical Center
  
 
POLICIES AND LAWS
  1. RA 10767- Comprehensive TB Elimination Plan Act of 2016
  2. DM No. 2017- 0343- Guidelines on the Use of Category II Treatment Regimen
  3. AO 2016- 0133- Integration of the Programmatic Management of Drug Resistant TB (PMDT) Services into the Basic DOTS Services in all Health Facilities
  4. DM No. 2015- 0294- Revised Clinical and Laboratory Baseline and Follow- up for Drug- Resistant Tuberculosis Patient
  5. DM No. 2015- 0271- Full Implementation of Xpert MTB/Rif under the Revised NTP MOP for Case Finding of All Types of TB
  6. AO No. 2015- 0039- Guidelines for Managing Tubeculosis Control Program During Emergencies and Disasters
  7. AO 2015- 0032- Revised Technical Guidelines for Implementing DOTS Strategy in Jails and Prisons
  8. AO No. 2015- 0029- Revised Polices and Guidelines on Hospital- TB DOTS under the NTP
  9. AO No. 2015- 0024- Implementing Guidelines on Integrated TB Information System
  10. AO 2014- 0005-Revised Policies and Guidelines in the Collaborative Approach of TB and HIV Prevention and Control
  11. EO 187, s. 2013- Comprehensive and Unified Policy for the Tuberculosis Control in the Philippines
  12. AO No. 2006- 0026- Implementing Guidelines in the conduct of NTP DOTS Certification
 
 
 
STRATEGIES, ACTION POINTS, AND TIMELINE
 
 ACHIEVE Strategies 
1. Activate TB patient support groups and communities to access quality TB services
2. Collaborate with other government agencies and partners to reduce out of pocket expenses of TB patients and expand social protection measures
3. Harmonize national and local efforts mobilize adequate and capable human resources for TB elimination
4. Innovate TB surveillance, research and data generation for decision-making
5. Enforce NTP TB care and prevention standards and use of quality TB products and services
6. Value clients and patients through provision of integrated patient-centered services
7. Engage national government agencies, legislative branch and local government units on multi-sectoral implementation of localized TB elimination plan
 
Guiding Principles
  1. Government stewardship and accountability, with monitoring and evaluation
  2. Engagement of the private sector, civil society organization and communities
  3. Protection and promotion of human rights, ethics and equity
  4. Adaptation of the strategies and targets at the local level
 
  
PROGRAM ACCOMPLISHMENTS/STATUS     
  • Good caseholding: 90% Treatment Success Rate is consistently achieved throughout the years.
  • The first and only region in the country to have an online system for TB DOTS Certification. This initative addresses the inherent problem of paper based submission of the Self- Assessment Form (SAF) by TB DOTS facilities. Partner agencies such as PhilHealth can easily track the certification status of all TB DOTS facilities in the region. The facility, moreover, can keep a record of their SAF as this can be conveniently viewed and updated online once they intend to apply for re- certification after three (3) years.
  • Sustained commendable TB-HIV Collaboration: To address the dual burden of TB and HIV, the region scaled- up its TB- HIV collaboration. With the increasing number of established DOH recognized LGBT groups in the region under the umbrella of SPECTRA, intensified advocacies are being conducted in the form of lectures, group discussions, quiz bees and beauty pageants. The region also achieved the program target rate in ensuring that TB patients aged 15 years old and above know their HIV status through Provider Initiated HIV Counseling and Testing in Zamboanga City- Region IX’s Category A site. The region started PICT right after training shy quarter 3 last year but was able to catch up in conducting the screening among confirmed TB cases.
  • Sustained Integrated TB Information System implementation: The region is among the first to implement ITIS regionwide shifting to 100% online version eventually after few months of implementation. To ensure real time generation of accurate, correct, consistent and complete data, the region is regularly conducting data quality check every quarter per province and city.
  • First region to regionalize the Philippine Strategic TB Elimination Plan Phase 1
  • Strong collaboration with partner stakeholders: Government, Non- Government Organizations, LGUs, Academes, Civil Society Organizations, faith- based and leaders of Indigenous Population organizations convene regularly through Regional Coordinating Committee Meeting where issues, concerns and plans concerning TB control in the region is being discussed. The RCC is one of the Region’s strong conduits to elicit support of the different partners in conducting various grand advocacy activities and in implementing new initiatives.
 
 
CALENDAR OF ACTIVITIES 
ACTIVITY
TARGET PARTICIPANTS
DATE AND VENUE
  1. iDOTS Training
NTP Medical and Nurse Coordinators (RHUs and Health Centers)
  • May 22-26, 2017- Zamboanga del Norte
    • June 26-30, 2017- Zamboanga del Sur
    • August 7-11, 2017- Zamboanga Sibugay
  1. TB Microscopy Training
 
  • May 15-19, 2017
  1. ITIS Data Quality Check
Nurses, ITIS Encoders
  • July 13-14, 2017- Zamboanga del Sur
  • July 19-20, 2017-
Zamboanga del Norte, Zamboanga Sibugay
  • October 19-20, 2017
Zamboanga del Norte, Zamboanga del Sur
  1. NTP Regional Program Implementation Review
NTP Provincial and City Medical, Nurse and Med. Tech. Coordinators; Stakeholders
  • March 28-30, 2017
Zamboanga del Norte
  1. NTP City/ Provincial Program Implementation Review
NTP Medical, Nurse and Med. Tech. Coordinators
 (Municipal Health Offices and Health Centers)
  • May 23-25, 2017- Zamboanga del Norte
  • May 31- June 2, 2017-     Zamboanga City/ Isabela
  • June 7-9, 2017-
 Zamboanga del Sur
  • June 6-8, 2017-               Zamboanga del Sur
  • June 14-16, 2017- Zamboanga Sibugay
  1. Regional Coordinating Committee Meeting
Stakeholders
  • Quarterly, As Needed
  1. Regional NTP Quality Assurance Staff Meeting
 
  • 3rd and 4th Quarter
  1. NTP Monitoring
Regionwide
  • March, April, June, September 2017
  1. TB DOTS Certification
Regionwide
  • January, June, September 2017
  1. Defaulter Tracing, Contact Tracing and Home Visit of MDRTB Patients
Regionwide
  • February- September, 2017
  1. World TB Day Commemmoration
Community
  • March, 2017
  1. Lung Month Commemmoration
Community
  • August, 2017
 
 
STATISTICS
 NTP Statistic 1              NTP Statistic 2
NTP Statistic 3               NTP Statistic 4
NTP Statistic 5               NTP Statistic 6
NTP Statistic 7
 
 
PROGRAM MANAGER CONTACT INFORMATION
NTP Medical Coordinator: DR. LENNY JOY J. RIVERA, MDM-            +63 977 837 4838/ This email address is being protected from spambots. You need JavaScript enabled to view it.
NTP Nurse Coordinator: MS. CARMELLE ROSARIO A. CASTILLO-      +63 975 147 9139/ This email address is being protected from spambots. You need JavaScript enabled to view it.
NTP Med. Tech. Coordinator: MR. JOSELITO L. CUA, MPA-                +63 917 710 0764/ This email address is being protected from spambots. You need JavaScript enabled to view it.
NTP Nurse Coordinator: MS. EASTSUN HALLILOU T. BONIAO, RN-   +63 917 709 3526/ This email address is being protected from spambots. You need JavaScript enabled to view it.
 
 
 
DATE LAST UPDATED
September 13, 2017