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1. India (2,300,000) 2. China (1,000,000) 3. South Africa (490,000) 4. Indonesia (450,000) 5. Pakistan (400,000)
Italy Japan Latvia Lesotho Lithuania Mexico Moldova Mozambique Namibia Russian Fed.
China, Hong Kong SAR Czech Rep. Ecuador Estonia France Georgia Germany Ireland India Netherlands Nepal Norway Peru Philippines Poland Portugal Rep of Korea
Vietnam
1990
TB cases Incidence all type TB Prevalence all cases Incidence new smear + cases Mortality Per Per year 100.000 pop
626.867 343
2007
2009
2010
Per Per Per Per Per Per Per Per Per day Per year 100.000 100.000 100.000 day year day year day pop pop pop 1.717 528.063 228 1.447 430 189 (45%) 1.178 430 189 1.178 (45%)
~
809.592
443
565.614
244
660
289 (35%) NA
282.09
154
773
236.029 91.369
102 39
647 250
NA 61
NA 27 (70%)
NA 167
NA 61
NA
168.956
92
463
27 (70%) 167
*) Global Report TB, 2009 halaman 282 **) Global Report TB, 2010 halaman 171 ***)Global report 2011
*) sd triwulan 1
Target CDR RPJMN 73%, Global 70% Target SR RPJMN & Global 85%
5 3
500,000
Number of patients
400,000
300,000
New Global Target: World TB Free 2050, indikator insidence 1/1.000.000 or 10/100.000, SR > 90%, CNR > 90%
GAP
TOTAL notified TB cases New Smear Positives New Smear Negatives Re-treatment Extra Pulm
200,000
100,000
97 98 99 00 01 02 03 04 05 06 07 08 09
M I S S I O N
TO INCREASE HEALTH STATUS OF THE COMMUNITY THROUGH EMPOWERING THE COMMUNITY INCLUDE PRIVATE SECTORS AND SELF RELIANCE GROUPS TO PROTECT PUBLIC HEALTH IMPORTANCE BY SECURING THE AVAILABILITY OF COMPREHENSIVE AND INTEGRATED QUALIFIED HEALTH SERVICES , EQUITABLE AND AFFORDABLE ACCESS,
VISION
1.
Increasing Universal Access to Quality DOTS Services 2. TB/HIV, MDR-TB, Childhood TB and reaching the other un-reach population (DTPK, Closed setting etc) 3. Implementing Comprehensive PPM model to ensure the involvement of all care providers towards quality TB care and treatment in compliance to ISTC 4. Empowering the TB people affected to get involved stategically in TB control Supported with : 5. HSS for Improvement of service delivery system and management of TB program at all levels 6. Increasing commitment of central and local government on TB control program for sustainability 7. Increasing operational research, surveillance system, MIS and utilization of strategic information for policy action.
1. Universal Access to Quality DOTS 2. Programmatic Management of Drug Resistance Tuberculosis (PMDT)
60%
50% 40% 30% 20% 10% 0% Jawa Bali Kalimantan Papua Sumatra Sulawesi
*Balitbangkes (2011)
Pakistan
Cina Thailand Russia Vietnam Bangladesh Afrika Selatan
*Wells et al (2011)
409,392
1,301,322 92,087 150,898 174,593 359,671 476,732
65
23 17 13 7 7 3
36
98 94 100 90 11 34
Penguatan Pelayanan DOTS Dasar di Puskesmas Pelayanan Rumah Sakit Publik/Swasta - Pendekatan: Akreditasi Rumah Sakit (Penerapan SPMRS TB-DOTS dan mekanisme referral ke layanan DOTS berkualitas - Leading: Dit BUK Rujukan -TA: KNCV
-Pendekatan: Penguatan sistem surveilans dan MIFA, Peningkatan Kualitas layanan, meningkatkan cakupan TBHIV, menjangkau masy di wilayah DTPK, meningkatkan rujukan ke layanan DOTS berkualitas -Leading: NTP -TA: WHO, FHI and other partners
- Pendekatan: ISTC rewarding/ cumulative credits, sertifikasi /lisensi -Leading: IDI -TA: ATS
-Pendekatan: Penegakan hukum/law enforcement -Leading: IAI (ikatan Apoteker Indonesia), BPOM, Dirjen Binfar -TA: USP dan MSH
The IHR also requires nations to expand their national health surveillance capacities and implement certain measures for regulating international traffic at airports and other entry points. Some countries has been using the IHR to control TB, MDR TB, or XDR TB and apply it as a PHEIC., and globally there is, precedent for considering MDR and XDR TB as potential PHEICs. The U.S.?New Zealand, Australia, Korea etc have notified WHO of cases with drug-resistant TB who travelled internationally by commercial aircraft as a potential PHEIC.
INCREASING MDR THREATENS OUR NATION STRENGTHS AND MAY INFLUENCE ECONOMIC SITUATION