World Health Organization : Year 1996 ; World Health Organization, Tuberculosis, No. 96.217: Global Tuberculosis Programme Support to National Programmes

By World Health Organization

Book Id: WPLBN0000077804
Format Type: PDF eBook
File Size: 2.9 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Tuberculosis, No. 96.217: Global Tuberculosis Programme Support to National Programmes
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Tuberculosis, No. 96.217. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
EXECUTIVE SUMMARY Introduction Since 1990 the WHO Global Tuberculosis Programme (GTB) has promoted the revision of national tuberculosis programmes to strengthen the focus on passive case finding, direct observed short-course chemotherapy, regular supply of drugs and close monitoring of case detection and treatment outcomes. From the start of the renewed control auuroach, the Global Tuberculosis Programme has * % - encouraged in-depth evaluation of activities through a comprehensive Programme Review and developed a manual describing the methodology. During 1990-1995, WHO supported 12 Programme Reviews.

Table of Contents
TABLE OF CONTENTS PAGE EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i-viii 1 . INTRODUWON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 . PURPOSES OF THE TUBERCULOSIS PROGRAMME REVIEW . . . . . . . . . 4 3 . SELECTION OF COUNTRIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4 . PROGRAMME REVIEW METHODOLOGY . . . . . . . . . . . . . . . . . . . . . . . . 8 4.1 Programme Review Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4.2 Programme Review Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.3 Actual Conduct of the Programme Review . . . . . . . . . . . . . . . . . . . . . . . 11 5 . PROGRAMMES REQUIRING A REVISION OF KEY CONTROL . . . . . . . . 14 POLICIES AND AN OVERALL RE-ORGANIZATION 5.1 Programme Review Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5.2 Programme Review Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . 20 5.3 Follow-up of the Programme Reviews . . . . . . . . . . . . . . . . . . . . . . . . . . 27 6 . PROGRAMMES REQUIRING AN EVALUATION OF THEIR . . . . . . . . . . . 34 IMPLEMENTATION OF APPROPRIATE CONTROL POLICES 6.1 Programme Achievements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 6.2 Programme Constraints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 6.3 Programme Review Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . 39 7 . LESSONS LEARNED AND POLICY IMPLICATIONS . . . . . . . . . . . . . . . . 42 7.1 Programme Review Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 7.2 Programme Review Participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 7.3 Training. Supervision. Logistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 and Communication 7.4 Medical. nursing and laboratory workers schools . . . . . . . . . . . . . . . . . . 45 7.5 Monitoring and Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 7.6 Involvement of primary health care structure . . . . . . . . . . . . . . . . . . . . . 47 7.7 Quality control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 7.8 Private sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 7.9 Other issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 8 . CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 50 ANNEX: LIST OF DOCUMENTS CONSULTED . . . . . . . . . . . . . . . . . . . . . . . . . 51