Engaging all care providers to Stop TB: Global progress How have we responded to the recommendations of the 4 th PPM Subgroup meeting? 5 th PPM Subgroup Meeting, WHO/EMRO, Cairo, Egypt 3 June 2008 PPM Subgroup Secretariat

Recommendation 1: Coordinate with partners to implement recommendations Core Group consultations at Union conferences and Subgroup meetings TB CAP: Projects development and collaborative implementation (IR3 – APA:1-3; 4) Potentially, through TBTEAM mechanism

Recommendation 2: Promote PPM guidance and tools Thirteen countries have developed PPM guidelines National situation assessments undertaken in 11 countries from AFR and EMR PPM operational planning workshop for 11 countries in AFR and EMR Spanish translation of the guidance document under print, French translation under way.

Largely driven by ATS in collaboration with partners Endorsements obtained and translated widely Pilots in India, Indonesia, Kenya, Mexico, Tanzania User guide and training modules developed Revision under way Recommendation 3: Promote International Standards for TB Care

Recommendation 4: Prepare guidance on involving hospitals in TB control Process led by KNCV Preliminary draft developed Shared and discussed in a multi-country workshop in 2007 Draft revised based on feedback and input To be discussed in this meeting

Recommendation 5: Conduct training on PPM at various levels 3 rd PPM international consultants training course, Sondalo, Italy, April 08 Regional training course for 9 countries in WPR; preparation on for a training course for Francophone countries Country specific courses / workshops: preparation on for a workshop for NGOs in India PPM incorporated into international courses on TB: Sondalo; RIT

Recommendation 6: Provide technical support to countries for PPM AFR: Malawi, Nigeria, Ghana AMR: Mexico EMR: Pakistan SEAR: Bangladesh, India, Indonesia, Nepal WPR: China, Philippines, Vietnam

Recommendation 7: Help develop guidance on PPM for TB/HIV Literature review PPM TB/HIV consultations PPM TB/HIV draft protocol for piloting Union to pilot in India and Namibia Protocol to be made available on the web Technical support available

Recommendation 8: Link with MDR-TB Working Group and Laboratory Subgroup Joint Group on PPM MDR-TB proposed Links with the Lab Subgroup established Working examples of PPM Labs yet to be studied (India, Iran) Collaboration with FIND on private laboratories engagement on Uganda

Recommendation 9: Document and develop strategies to involve informal providers Partly supported through TB CAP project Literature review Documentation in Burkina Faso and Gambia Documentation in more countries planned Intervention project planned in Gambia

Recommendation 10: Enhance efforts to engage corporate sector Literature review undertaken Country examples documented: Bangladesh, Philippines; more planned (Kenya, South Africa, Brazil ?, India ?) Multi-agency Task Force set up: UNAIDS, ILO, WEF, WHO- Occupational Health, Stop TB Partnership Company self-assessment tool developed and piloted Joint Consultation with countries and business sector planned

Recommendation 11: Pursue operational research agenda India: Scale up documentation India: Economic analysis of scale up TB CAP Projects: –Informal providers –Corporate sector –PPM TB/HIV

Recommendation 12: Collaborate with and learn from other health programmes WHO Technical Brief on private sector PPM Malaria Sharing of experiences Reproductive health WHO working group on contracting Journal editorials and articles and book chapter

Recommendation 13: Develop and use a knowledge management strategy PPM Web Site Web Learning Laboratory

Recommendation 14: Strengthen advocacy efforts PPM Brochure updated PPM Website maintained

Expectations from PPM: Global Plan

Proportion of BMUs with PPM in place: top 5 high burden countries, 2007

PPM resources and progress in 22 HBCs : 2007

What precisely is the contribution of PPM to Global TB control? ?

Key issues before this meeting Linking hospitalsLinking hospitals Engaging professional associationsEngaging professional associations Involving business sectorInvolving business sector PPM for MDR-TB and TB/HIV working groupsPPM for MDR-TB and TB/HIV working groups Tapping new opportunities and resourcesTapping new opportunities and resources Measuring PPM contributionsMeasuring PPM contributions