11-14 Nov 511 Stop TB Challenging for Effective Manager นพ. ศุภกิจ ศิริลักษณ์ พบ., อว., MPHM. ผู้อำนวยการสำนักนโยบายและ ยุทธศาสตร์

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11-14 Nov 511 Stop TB Challenging for Effective Manager นพ. ศุภกิจ ศิริลักษณ์ พบ., อว., MPHM. ผู้อำนวยการสำนักนโยบายและ ยุทธศาสตร์

11-14 Nov Policy Implementation Projects : TB Breast Feeding Refer Center Food Safety NCD ( Lifestyle Disease) Public Health Emergency Response

11-14 Nov 513 TB Situation : TB Situation : 1. World Rank 18/22 Detection Rate ≥ 70 % Success Rate of DOTS ≥ 85 %

World Health Organization report, 2008

Progress in high-burden countries,

11-14 Nov 516 TB Situation : TB Situation : 2. Thailand (2007) Detection Rate ~ 70 % Success Rate –66 Provinces < 85% –16 Provinces ≥ 85% – 4 Provinces ≥ 90% –The Lower Top 3 Nakornsrithammarat30% Chonburi40% Ranong51%

11-14 Nov 517 TB Situation : TB Situation : 2. Thailand (2007) Cont. MDR (2006) –New cases1.6 % –Old cases34 % XDR –13 cases(Siriraj) –? cases(Border)

11-14 Nov 518 TARGET : TARGET : For Every Province Detection Rate ≥ 70 % Success Rate ≥ 85 % Province Champion ( > 40 provinces) Success Rate ≥ 90 %

11-14 Nov 519 Case Detection : Case Detection : Passive Detection: Conventional Process Specific Detection: HIV  ve, DM, etc. Active Finding: Risk Areas (Selected)

11-14 Nov 5110 DOTS Strategies : Political commitment with increase sustained financing Case detection through quality-assured bacteriology Standardized treatment with supervision and patient support Effective drug supply and management system Monitoring and evaluation system and impact measurement

11-14 Nov 5111 Mechanism : Ms. / Mr. TB –PHO –Hospital PTC / DTC HTC TB Clinic Health Volunteer, TB worker Partners

11-14 Nov 5112 M & E : Systemic Report (SMART TB?) Regular Meeting Supervision COHORT Analysis & Report

11-14 Nov 5113 Outcome Definition : Detection Rate Conversion Rate Complete Rate Cure Rate Success Rate Default Rate

11-14 Nov 5114 The Country End but Your Mean