Development of Country-Specific Plans for TB Drug Selection and Use Moldova, Nepal, Pakistan, Somalia, and Sudan

Strengthening Management of TB Drug Selection Problem Area  FDCs not registered and not on national EDL Activity  Request MOH to include FDCs on EDL and to register them

Strengthening Management of TB Drug Use Problem Area  Inappropriate use of TB drugs in private sector (not following STGs/DOTS)  Lack of community involvement in DOTS Activity  Education and enforcement of legislation  Implement community-based programs

Strengthening Management of TB Drug Use, continued Problem Area  Manufacturers’ incentives for providers Activity  Regulatory interventions, counter detailing, and consumer awareness

Strengthening Management of TB Drug Procurement Problem Area  Two-tiered systems for procurement (inpatient and outpatient) Activity  Implement pooled funding and procurement

Strengthening Management of TB Drug Distribution Problem Area  Insufficient means of transportation for drugs  Treatment of TB cases in migrants/nomads Activity  Purchase cars, camels, and motorcycles  Train volunteers in rural communities