1. McKinsey 7s

2. Strategy pursuing high-quality DOTS expansion and enhancement
address TB-HIV, MDR-TB and the needs of poor and vulnerable populations
contribute to health system strengthening based on primary health care
engage all health care providers
empower TB with and communities through partnership
enable and promote research

3. Strategy STANDARDIZED TREATMENT Flexible and adaptable
Yet with an individual touch
Flexible and adaptable
Patient treatment cards

4. Structures
DOH
LGU
DOTS Clinic

5. Structure DOH LGUs Provide standardized training Central control
Where everyone reports to
LGUs
Reports to DOH
Inspects DOTS clinics

6. Structure
DOTS Clinic
Provides treatment and follow-up
TBDC
The centralization of the DOTS program is essential to their success
Explicit lines of communication

7. Style Overall leadership: DOH
Trains everyone
Everyone reports to them
Difference in management in individual DOTS clinics
Dedication and teamwork

8. Shared values
Dedication
Team-work

9. Systems Main: DOH Supplies drugs and equipment Provides training
Implements rules

10. Skills
Technical skills – DOH training
Procedural competency

11. Staff Nurse and med tech Trained by the DOH Dedication Teamwork
Underpain

12. Financial Analysis More cost efficient to treat people early
DALYs = lose P 8B per year

13. Pulmonary TB Treatment
Generic Drug
Price per tablet
Total (8 months)
Myrin P forte
Dosage: (Ethambutol(275mg), Rifampicin (150mg), Isoniazid (75mg), Pyrazinamide (400mg))
P11.24
P8,304
MyrinP-P15 (Rimstar)
Dosage:
(Ethambutol 275mg, Rifampicin 150mg, Isoniazid 75mg, Pyrazinamide 400mg)
P11.75
P5,640

14. Gastrointestinal TB Treatment
Surgical
Open Surgery (Excision) – P120,000-P150,000
Laparoscopic – P220,000
Medical
Pre-operation treatment (3 mos) - P2,115
Post-operation treatment (12 mos) - P8,460

15. Financial Indicators

16. Internal Business Process

17. Customer Perspective

18. Learning