TB Platforms for Sustainable Detection, Care, and Treatment in the Philippines

Overview

The TB Platforms Project aims to strengthen TB interventions at the regional, local government, and community levels to increase TB case detection and treatment success rates.

 

The Challenge

According to the National TB Prevalence Survey, the TB prevalence rate in the Philippines is 1,159/100,000 people, two and a half times higher than previously estimated. While the estimated incidence is 554/100,000 people, the treatment coverage is just over half (58%) of all cases. In order to improve TB detection, notification rates ,and treatment outcomes, national support must be coupled with local capacity building, system strengthening, and community engagement, including that of the private sector.

 

Objectives

Advance adoption and improvement of healthy behaviors of individuals and the community to prevent, detect, and treat TB by:

  • Utilizing novel approaches in social behavioral change to improve communication with communities and individuals and encourage positive health-seeking and preventative behaviors.
  • Engaging NGOs and public and private providers to increase data reporting, train regional and provincial health teams to apply local TB data in strategic planning and prioritization and promote the use of evidence-based decision making to ensure that activities are effective and cost-efficient.

Bolster high-quality patient-centered TB and drug-resistant TB treatment for adults, children, and vulnerable populations by:

  • Applying URC’s patient-centered care framework through quality improvement (QI) teams, focusing QI strategies on comprehensively addressing patient needs, reorganizing procedures for more coordinated and efficient patient care, creating systems for client feedback, emphasizing gender-sensitive services, and boosting health worker motivation.
  • Engaging facility, diagnostic, and community providers in strong service delivery networks to improve management of TB care, establishing functional linkages among providers, and ensuring access to TB services throughout the continuum of care, thereby increasing treatment completion rates and decreasing the spread of TB.

Expand local health system capacity to delivery TB and drug-resistant TB services to targeted populations by:

  • Supporting, strengthening, and empowering local government units to plan, manage, finance, oversee, and lead TB control efforts.
  • Establishing linkages between formal health institutions and non-traditional actors including private providers, civil society organizations/community-based organizations, patients, and other advocacy groups, engaging and mobilizing local stakeholders to ensure a strong network of community and facility-based services.

 

Achievements

  • As of March 2019, the TB Platforms project has screened over 34,000 people through program activities and detected over 1,500 multidrug-resistant/rifampicin-resistant TB cases in underserved Filipino communities

 

Senior citizens and other groups at risk for TB (household contacts of TB patients, persons with diabetes, smokers. etc.) register for TB screening. Photo Credit: APascua/URC
Senior citizens and other groups at risk for TB (household contacts of TB patients, persons with diabetes, smokers. etc.) register for TB screening. Photo Credit: APascua/URC
Duration
2018 to 2023
Funders 
US Agency for International Development (USAID)
Partners 
Center for Health Solutions & Innovations Philippines (CHSI)
Gerry Roxas Foundation (GRF)
Philippine Tuberculosis Society Inc. (PTSI)
Pilipinas Shell Foundation, Inc. (PSFI)
Regions/ Countries