National Tuberculosis Center

Strategy

Nepal Sop TB Strategy

Vision: Nepal free of TB

Goal: To reduce the mortality, morbidity and transmission of tuberculosis until it is no longer a public health problem in Nepal.

Objectives:

Achieve universal access to high-quality diagnosis and patient-centered treatment
Reduce the human suffering and socioeconomic burden associated with TB
Protect poor and vulnerable populations from TB, TB/HIV and multidrug-resistant TB
Support development of new tools and enable their timely and effective use

Targets
MDG 6, Target 8: ...halted by 2015 and begun to reverse the incidence.....

Targets linked to the MDGs and endorsed by the Stop TB Partnership:

by 2005: detect at least 70% of new sputum smear-positive TB cases and cure at least 85% of these cases
by 2015: reduce prevalence of and death due to TB by 50% relative to 1990
by 2050: eliminate TB as a public health problem (<1 case per million population)

Components of the Stop TB strategy

1. Pursue high-quality DOTS expansion and enhancement

• Political commitment with increased and sustained financing
• Case detection through quality-assured bacteriology
• Standardized treatment with supervision and patient support
• An effective drug supply and management system
• Monitoring and evaluation system, and impact measurement

2. Address TB/HIV, MDR-TB and other challenges

• Implement collaborative TB/HIV activities
• Prevent and control multidrug-resistant TB
• Address prisoners, refugees and other high-risk groups and special situations

3. Contribute to health system strengthening

• Actively participate in efforts to improve system-wide policy, human resources, financing, management, service delivery, and information systems
• Share innovations that strengthen systems, including the Practical Approach to Lung Health (PAL)
• Adapt innovations from other fields

 

4. Engage all care providers

• Public-Public, and Public-Private Mix (PPM) approaches
• International Standards for Tuberculosis Care (ISTC)

5. Empower people with TB, and communities

• Advocacy, communication and social mobilization
• Community participation in TB care
• Patients' Charter for Tuberculosis Care

6. Enable and promote research

Programme-based operational research

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