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Overview of Presentation
Overview of Presentation
Introduction: The Cough to Cure Pathway
is a diagnostic and planning tool.
This diagnostic and planning tool supports costeffective implementation of ACS support and
services.
Focus
View
of system
Enabling environment
Overview of Presentation
Introduction: The Cough to Cure Pathway
is a diagnostic and planning tool.
The "Cough to Cure Pathway
The
Case detection
Goal: 70%
Current average: 44%
Treatment completion
Goal: 85%
Current average: 82%
Ideal vs reality
In an ideal world, for every 100 infected people, all 100 would:
Seek timely care
Go to a DOTS facility either directly through referral
Be correctly diagnosed
Begin treatment
Persist with treatment for more than 2 months
Complete treatment
These are the six steps that form the basic structure of the
pathway
As the following slide shows, things are far from ideal
Pathway Steps
Individual
Group
System
The
individual
And
of medicines
Lack of DOTS facilities - trouble (time, money)
to attend
Providers fail to give adequate information
about length of treatment, importance of
persistence, side effects
Poor quality of services (e.g., non-supportive
or abusive providers)
Overview of Presentation
Introduction: The Cough to Cure Pathway
is a diagnostic and planning tool.
The "Cough to Cure Pathway"six steps to
ideal TB treatment
Applying the Pathway: 4 diagnostic steps
Description
Examples
Routine information
Special studies
Key informants
Chart out the data and let it guide the decision making
process
Make sure all your percents refer to the same base population
Individual:
Misperceptions
Group
Stigma
System
Distance
to DOTS provider
No or weak links between non-DOTS and DOTS providers;
non-referral
What
these come from the BEHAVE model; many other models exist: NCI Pink
Book, P-Process, Combi, CDCynergy, )
Thank you
Academy for Educational
Development and the
Stop TB Partnership
Secretariat