ASD PRODUCTS

 

Guidelines and materials development

  1. Developed TB case management guidelines and training packages for care providers (i.e. doctors, paramedics, laboratory staff, and lady healthy workers) as well as implementation planning and program monitoring guidelines for district and provincial managers (DFID support). These guidelines and training materials are being used for countrywide implementation of TB control program in Pakistan .
  2. Developed, in partnership with Leeds University UK , “Community based TB DOTS: Planning and training toolkit”. A set of generic and adaptable TB materials also developed for use in other developing countries. An example of such adaptation and use in other country programs is TB case management desk guide in China .
  3. Developed Malaria case management guidelines and training packages for care providers (i.e. doctors, paramedics, and laboratory staff) as well as implementation planning and program monitoring guidelines for district and provincial managers (GFATM and then DFID support). These guidelines and materials are currently being used, for program implementation in nineteen high-prevalence districts (GFATM support).
  4. Developed guidelines and training package for syndrome-based management of sexually transmitted infections . The guidelines are the simplified and concise presentation of all the detailed points of case management from symptom to cure, and incorporating the issues and wording to fit with the service delivery context (DFID support) .
  5. Developed operational guidelines and training materials for district-based external quality assurance of TB and malaria related microscopy at primary health care network. The system has already been piloted, evaluated and refined in sixteen districts of Punjab . The malaria_EQA is being scaled-up in nineteen high-prevalence districts (through GFATM R-7 support).
  6. Developed operational guidelines and training materials for the delivery and monitoring of childhood TB care at district and sub-district hospitals. The package is being expanded in other districts of Pakistan (including 28 teaching hospitals). The package is currently being reviewed by international technical partners for possible wider dissemination.
  7. Developed operational guidelines and training materials for TB-HIV co-infection interventions at hospitals and ART centers. The package is being implemented at selected locations in all four provinces (GFATM R-6 support).
  8. Developing, in partnership with NTP, the operational guidelines and training materials for community based care and social support of MDR-TB patients. These materials will be piloted and evaluated at 3 – 4 selected sites, before scaling up in the rest of the country.
  9. Developing, in partnership with NTP and other partners, the operational guidelines and training materials to enable selected categories of advocates for TB related advocacy, communication and social mobilization.
  10. Developed, in partnership with the TB control program, a set of guidelines and materials to implement and monitor the district-led model of public-private partnership development. The model is currently being piloted and evaluated in selected districts, before wider scaling-up. The model is also being adapted for developing public-private partnership in malaria control.
  11. Developed, in partnership with the COMDIS-HSD, a set of guidelines and materials to implement and monitor the district-led model of public-private partnership in Cardiovascular Disease & Hypertension. The model is currently being piloted and evaluated in selected districts, before wider scaling-up. The model is also being adapted for developing public-private partnership in CVD Hypertension control.
  12. Developed, in partnership with the COMDIS-HSD, a set of case management guidelines and materials including communication tools as healthy lifestyle counseling flipbook and leaflet to implement and monitor the Cardiovascular disease and Diabetes mellitus type 2 in primary health care settings. The model is currently being piloted and evaluated in selected districts (Sargodha dist.), before scaling up.
 

Interventions for enhanced health impact

•  Multiple interventions to enable the district management and strengthen TB care at public sector health facilities (hospitals, rural health centers, and basic health units) in eighteen districts of Punjab and two district of NWFP (FIDELIS supported). The intervention components included: district level implementation planning; training of doctor, paramedics, laboratory technicians and lady health workers; supplement material inputs, enhanced facility and district level monitoring, external quality assurance, community mobilization, and enhanced patient-provider interaction.

•  Hospital DOTS Linkage (HDL) interventions to introduce and strengthen TB-DOTS in sixteen teaching and private hospitals of Punjab . The intervention components include: hospital level advocacy and implementation planning; staff training; material supplement inputs, enhanced intra-hospital monitoring, external quality assurance, and enhanced patient-referral linkages. This initial FIDELIS-supported work has been expanded (through GFATM Round 6 support) to about twenty two hospital in Punjab, NWFP and Islamabad . The scope of work has also been enhanced to include difficult to diagnose and treat adult TB cases, TB-HIV co-infection, and childhood TB components of the new Stop TB strategy

•  Technical partner of The Asia Foundation to mobilize communities for TB control in twenty districts of Pakistan (GFATM round-III support). Through GFATM Round 6 support, the advocacy-communication and social mobilization (ACSM) work has been extended to nine districts in Punjab and Balochistan.

•  Strengthening the district capacity to manage anti-TB drug in 50 districts of Pakistan . The intervention components include: storage capacity, distribution arrangements, staff skills, and monitoring at facility and district levels (through GFATM Round 8 support).

•  Interventions piloted in sixteen districts of Punjab to strengthen the malaria case management at public sector facilities. The intervention components included: district level implementation planning; training of doctors and laboratory technicians; supplement material inputs, enhanced facility and district level monitoring, and district based external quality assurance. The malaria case management strengthening in public and private sector has now been extended to four districts in Sindh (GFATM Round-7).

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