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Reference:4096
Country:Kazakhstan
Multiple country event:No
Region:EURO
City:Astana, Almaty, Chimkent
Start date:10 May 2012
End date:19 May 2012
Estimated duration:9 days
Status:Completed - Complété
 (The mission has taken place)

Title:NTP review
Type:Mission
Terms of Reference:Background
On 06 June 2011 Ministry of Health of Kazakhstan requested WHO European office to organise the review of the National TB control Program. The dates for the NTP review had been defined to be conducted from 10 to 18 May 2012 with the objectives of the mission stated below.
The team of international and local experts has assessed the achievements, strengths, shortcoming and weaknesses of the National TB Programme 2007-2015 based on the following approaches: review of all relevant documents already available; conduct site visits (of relevant institutions and facilities); and conduct interviews (to policy makers, health providers and beneficiaries, general population, main national and international partners) at national level as well as in selected regions of Kazakhstan.


Mission objectives
• To document the progress and shortcomings in TB prevention, control and care in comparison with the extensive programme review conducted in 2005;
• To identify legislative and structural barriers in the health system that prevent an effective response to TB epidemic, including TB/HIV coinfection;
• To assess role of social determinants of TB (drug dependence, HIV/AIDS, stigma, social exclusion, etc.) and response of the health system to them;
• To visit TB and related health facilities including laboratories, and report on quality of services;
• To analyse epidemiological data, accuracy of recording and reporting and TB monitoring system;
• To assess the links, synergies and opportunities for TB control in relation to health system strengthening and other disease specific interventions, including management of TB/HIV;
• To assess the role and involvement of civil society;
• To assess partnership, coordination and collaboration on TB control with national and international stakeholders including the Ministry of Justice;
• To provide the Ministry of Health with a comprehensive set of recommendations and a prioritised action plan to improve TB prevention, control and care in the Republic of Kazakhstan.

Scope of the extensive review of the TB prevention, care and control
• The evaluation team assessed all components of the National TB Programme and the Stop TB Strategy, including:
• Commitment and policy (place of the TB Programme in the overall health system, TB Programme financing, organisational structure, guidelines)
• Diagnosis and case detection
• Laboratory services
• Treatment (inpatients and outpatient)
• Preventive activities (Bacillus Calmette-Guerin (BCG), skin tests, infection control)
• Drugs and equipment
• Human resources and human resource development (HRD)
• Recording and reporting (R&R)
• Monitoring and evaluation (M&E)
• TB and HIV coinfection
• M/XDR TB
• TB in prisons
• Partnership and coordination
• Advocacy, Communication and Social Mobilisation (ACSM).
Training Opportunity:No
Website:
Purpose 1:TB programme planning and review / regional meetings
Purpose 2:MDR-TB / XDR-TB
Purpose 3:Global Fund grant implementation
Other purpose:All aspects of TB control in the country

Entered by:WHO/EURO
Partner 1:The Global Fund
Partner 2:USAID
Partner 3:NTP
Contact name:Masoud Dara / Ogtay Gozalov / Melita Vujnovic
Contact email:mdd@euro.who.int, ogo@euro.who.int, mev@euro.who.int
Other agencies:CDC; TGF; GDF

Funding needs:Yes
Funding source:Global Fund - Fonds Mondial
Other funding source:USAID, GDF
Available funding:$ 0
Funding gap:$ 0
Global Fund reference: 

Comments: 
 

There are no documents attached associated with this event.


Experts (roster) associated with this event

Veriko Mirtskhulava veriko.mirtskhulava@tbgeo.ge; verikomir@yahoo.com Drug Management    
Manfred Danilovits manfred.danilovits@kliinikum.ee TB Expert    
Andrei Mosneaga andrei.mosneaga@pas.md TB Expert    
Nestani Tukvadze marikushane@yahoo.com; ntukvad@emory.edu TB Expert    
Nonna Turusbekova nturusbekova@hotmail.com TB Expert    
Askar Yedilbayev askar@pih.org TB Expert    

Experts (non-roster) associated with this event

  Charlotte Goyon cgoyon@ghadvocates.org ACSM expert  

Date Created: 9 March 2012
Entered By: Europe Office (WHO)




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