Engaging All Care
Providers in
TB Care
and Control:
Role of Professional
Organizations Responsible for ISTC
ISTC: Development Process
• Funded (Oct 1, 2004) by USAID via TBCTA
• Steering Committee: 28 members / 14 countries
• Cochairs: M. Raviglione (WHO) / P. Hopewell (ATS)
• Process coordinated by ATS
• Evidence-based with six systematic reviews
• Ten drafts prior to final
• “Final” document December 2005--but is a “living”
• Patients’ Charter for TB Care developed in tandem
• Launch on World TB Day--March 24 2006
J.W. Lee, Director General, World Health
Organization: March 24, 2006
The Global Strategy to Stop TB
ISTC: Test Sites
• India
• Indonesia
• Kenya
• Mexico
• Tanzania
ISTC: Languages
How is ISTC being used?
• Serving to unite public and private sectors in
providing a uniformly accepted level of care for all
patients with, or suspected of having, TB by
describing the essential elements of TB care that
should be available everywhere;
• Providing a focus for mobilizing professional
societies globally in support of TB programs;
• Serving as a powerful advocacy tool to ensure that
the essential elements are available;
• Presenting a core for medical and nursing school
curricula and for continuing medical education; and
• As a guide for policy makers and donors.
Editorial, Lancet Infectious Diseases;
Nov, 2006
In this month's issue of The Lancet
Infectious Diseases we publish the
International Standards for
Tuberculosis Care. When national
tuberculosis control programmes and
individual clinicians apply these
standards correctly, multidrug-resistant
tuberculosis and—the recently
defined—extensively drug-resistant
(XDR) tuberculosis should not develop--.
Role of Professional Societies
Professional societies can serve as valuable
collaborators with TB programs:
• Serving as conduits to their private sector
members to disseminate information (such as
the ISTC);
• Giving credibility to TB programs;
• Providing technical assistance to TB programs;
• Conducting training activities;
• Exerting peer pressure; and
• Advocating for appropriate resources and
Goal of the Meeting
• To mobilize professional associations to
help foster effective collaboration
between national TB programmes and
private health care providers.
• How can this be accomplished?
– Develop a professional society network;
– Provide funding (~$10,000 each) to selected
professional societies to develop a work plan for
coordinated activities with their respective NTPs;
– Provide technical assistance for work plan
ISTC Tools and PCTC

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