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* * Home: News Room: Events: World Conference on Lung Health—2004

MSH Presents at the World Conference on Lung Health

October 28-November 1, 2004
Palais de Congrès
Paris, France
http://www.worldlunghealth.org/

Workshop

Oral Session

Poster Sessions

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Friday 29 October 2004 - 13:00 – 17:00
Challenges and solutions for TB pharmaceutical management

Sponsors:

  • Management Sciences for Health, Rational Pharmaceutical Management Plus Program
  • Global TB Drug Facility-WHO

DESCRIPTION: Many NTPs continue to encounter problems in providing quality TB medicines to patients when they need them. While lack of financial resources may be one constraintfor procuring all TB medicines needed, NTPs also experience a host of other problems in pharmaceutical management.

The problems can be categorised as follows:

  • What are the best product formulations to use? (appropriate selection)
  • What are the best sources for TB products? (good procurement practices)
  • How can I monitor the quality of products received from suppliers? (assuring quality)
  • How can I maintain appropriate stock levels? (distribution and inventory practices)
  • How can I manage storerooms to prevent deterioration of products? (stock control)

The workshop will share common TB pharmaceutical management problems and how some TB programmes have solved them. Solutions presented during the workshop will include functional instruments for procuring a regular supply of quality TB pharmaceuticals and supplies, and for monitoring their storage, distribution and use within the system.

TARGET AUDIENCE: Managers of TB and essential medicines programmes, drug policy makers and TB partners looking for mechanisms to support TB programmes

OBJECTIVES:

  • To present successes in TB pharmaceutical management in various country programmes
  • To provide steps on how to obtain TB medicines through various international mechanisms such as the Global TB Drug Facility, the Green Light Committee and the Global Fund to Fight AIDS, TB and Malaria
  • To discuss how packaging of TB drugs can effect positive outcomes
  • To demonstrate how programmes can monitor TB pharmaceutical management elements of their programmes to promote availability

SPEAKERS:

  • Joel Keravec (Brazil)
  • Jimmy Lagahid (Philippines)
  • Gitau Kinyanju (Kenya)
  • Chinwe Owunna (MSH/Ethiopia)
  • Representative from Caucasus (GTZ/ICRC)
  • Ernesto Jaramillo (WHO/Green Light Committee Secretariat)
  • Hugo Vrakking (WHO/Global TB Drug Facility)
  • Robert Matiru (WHO/Global TB Drug Facility)
  • Thomas Moore (MSH TB Pharmaceutical Management)
  • Andrey Zagorskiy (MSH TB Pharmaceutical Management)

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Sunday October 31 - 14:00-16:15
Incentives for DOTS performance: enabling or corrupting?

DESCRIPTION: The core symposium will address the growing attention given to incentives, enablers and performance-based financing within DOTS programmes. There is a wide range of approaches now being implemented that only sometimes involve piloting or evaluation. These include interventions aimed at increasing the motivation and capacity of TB patients, public and private providers, administrative authorities and community partners. Some of these approaches are controversial, as there is debate on whether they produce the expected actions by the beneficiaries, whether they represent a “slippery slope” towards market-driven interventions vs. public health objectives, and on their sustainability. At the same time, given the disabling environment in many settings, there is evidence that providing support for DOTS stakeholders to prioritize and fulfill their functions can be effective in improving DOTS results.

TARGET AUDIENCE: Public health practitioners, researchers, policy makers and financial supporters.

OBJECTIVES:

  • to offer an overview of documentation on the objectives, effectiveness and challenges in designing and implementing incentive-based measures in DOTS programmes
  • to enable several DOTS programmes in high-burden settings to share the results of their experiments

SECTION: Tuberculosis

COORDINATOR: Peter Gondrie (The Netherlands)

PRESENTATIONS:

  1. Evaluating enabler and incentives schemes: what are we learning?
  2. Enabling care for TB patients by giving incentives to providers
  3. Assessing the array of options to increase patient use of DOTS
  4. Reducing defaulter rates in Russia requires support for providers and patients
  5. Performance-based support for DOTS innovations: the FIDELIS approach

14:00-14:20
Evaluating enabler and incentives schemes:what are we learning?
Alix Beith (Management Sciences for Health, Rational Pharmaceutical Plus (RPM) Program (USA)

14:25-14:45
Enabling care for TB patients by giving incentives to providers
Fengzeng Zhao (China)

14:50-15:10
Assessing the array of options to increase patient use of DOTS
Lindiwe Mvusi (South Africa)

15:15-15:35
Reducing defaulter rates in Russia requires support for providers and patients
Wieslaw Jakubowiak (Russia)

15:40-16:00
Performance-based support for DOTS innovations: the FIDELIS approach
Gulshan Khatri (India)

16:00-16:15
Discussion

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Using a Laboratory Performance Improvement Program to enhance quality of services for TB and HIV/AIDS in Uganda

Authors: C J F Mundy, S Johnson, P Mugyenyi, J Lagahid, R Viazon, P G Suarez, C M Whalen

Address: Management Sciences for Health, Boston, USA. Joint Clinical Research Centre, Kampala, Uganda.

INTRODUCTION: Efforts to improve laboratory performance frequently focus on training in laboratory techniques and providing equipment and consumables. Leadership and management strengthening has not been sufficient to create an institutional environment to leverage these investments and maintain technical quality.

OBJECTIVES: To devise and pilot a programme to improve laboratory performance through strengthening the management systems and developing managers to lead.

METHODS: Tools for strengthening leadership and management have been adapted to match the specific management components and challenges faced by laboratory networks in low-income countries with high prevalence of TB and TB/HIV and are being piloted and evaluated in Uganda.

RESULTS: Preliminary results of a structured participatory self-assessment process to identify gaps in the laboratory management systems, and highlights of resulting management improvement plans will be presented. The framework for the Leadership Development Programme to address priority challenges affecting the efficiency and quality of services will also be presented.

CONCLUSION: Improving leadership and management capacity of laboratory networks is essential for sustaining the quality and efficiency of services.

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