Nepal Stop 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
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Political commitment with increased and sustained
financing
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Case detection through quality-assured bacteriology
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Standardized treatment with supervision and patient
support
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An effective drug supply and management system
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Monitoring and evaluation system, and impact measurement
2. Address TB/HIV, MDR-TB and other challenges
3. Contribute to health system strengthening
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Actively participate in efforts to improve system-wide
policy, human resources, financing, management, service delivery,
and information systems
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Share innovations that strengthen systems, including
the Practical Approach to Lung Health (PAL)
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Adapt innovations from other fields
4. Engage all care providers
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Public-Public, and Public-Private Mix (PPM) approaches
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International Standards for Tuberculosis Care
(ISTC)
5. Empower people with TB, and communities
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Advocacy, communication and social mobilization
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Community participation in TB care
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Patients' Charter for Tuberculosis Care
6. Enable and promote research
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