1. ACSM SG in 2009: Progress and Challenges
Dr Netty Kamp,
Chair ACSM Subgroup
29 November 2009

2. Highlights History ACSM working group (Country Level)
Cancún 2003 Expert meeting, Johannesburg 2003 STB Task Force
1st ACSM WG meeting Feb 2005
1 st ACSM Sub Group Country Level
Preparation of Global Plan 2: Stop TB Strategy: 5th Component
Preparation of ACSM Framework
2nd meeting Milano sept 2006
2008 McKinsey Evaluation

4. New Structure of the ACSM WG under DEWG (2008)

5. ACSM at Country Level (10 years Framework)
Address 4 Key Challenges
Improving case detection and treatment adherence
Combating stigma and discrimination
Empowering people affected by TB
Mobilizing political commitment and resources for TB

6. ACSM tools

7. Progress
12 HBCs have developed and are implementing multisectoral, participatory ACSM initiatives.
16 HBCs have conducted or will conduct Knowledge, Attitude and Practice (KAP) surveys to measure baseline for impact assessment and target ACSM activities.
30 countries have established National Stop TB Partnerships or similar country coordination mechanisms to bring together all stakeholders in a concerted effort to fight TB.
Numerous NGOs and other non-HBCs implementing strategic ACSM and starting to document.

8. ACSM Subgroup Achievements
Collecting and documenting ACSM Best Practices.
Document on how to work with media for correct reporting of key TB messages to a wide audience.
Revised ACSM indicators in TB control questionnaire – for better annual collection of ACSM data from HBCs.
Set criteria for TBTEAM experts roster for ACSM TA providers to ensure quality and consistent TA of entire Component 5.
Revision of Subgroup Terms of Reference

9. Challenges
Still limited partnering with NGOs already implementing ACSM initiatives. Multiple players implementing ad-hoc activities in uncoordinated way, leading to duplication of same initiatives and missed opportunity for synergy.
Insufficient monitoring and evaluation for ACSM leading to lack of evidence of its impact on TB control indicators.
Need more meaningful involvement of affected communities in shaping the country-level response to TB.
Quality and consistency of Technical Assistance in Component 5. Need to build capacity of experts.
Limited engagement of Subgroup members. Hard to encourage people to submit best practices or activity update.