MODULE A
The roles and functions of Treatment Centers and Treatment Sites in PMDT are described as follows:
MDR-TB Treatment Centers
MDR-TB Treatment Sites
–– Referral center for MDR-TB suspects
–– Referral of MDR-TB suspects to Treatment Centers
–– Detection of MDR-TB cases (smear microscopy and link to Culture and DST Centers) –– Household contact investigation
–– Identification of MDR-TB suspects (smear microscopy)
–– Registration and initiation of treatment of MDRTB cases –– Residence verification –– Sustainability check –– Supervised treatment especially while sputumpositive
–– Continuing treatment for endorsed cases
–– Bacteriologic follow-up of treatment response through culture
–– Bacteriologic follow-up of treatment response through microscopy
–– Early detection, monitoring and management of adverse drug reactions (ADRs) including serious and uncontrolled ADRs and link to specialists
–– Early detection of ADRs and management of minor ADRs and referral to Treatment Centers for serious and uncontrolled ADRs
–– Active tracing of treatment interrupters and defaulters
–– Active tracing of treatment interrupters and defaulters
–– Programmatic patient decentralization for community-based TB care
–– Acceptance of patients decentralized by Treatment Centers
–– Drug management
–– Drug management (limited to very few patients)
–– Supervised treatment when sputum-negative
–– Supervision and monitoring –– Health and drug education/counselling
–– Health education/counselling
–– Psychosocial services –– Recording and reporting
–– Recording
The first three MDR-TB Treatment Centers in the Philippines are the TDF-MMC DOTS Clinic at the Makati Medical Center (MMC) set up in 1999, the Kabalikat sa Kalusugan (KASAKA)-Quezon Institute (QI) MDR-TB Housing Facility in 2004 and the Lung Center of the Philippines (LCP)- Public Health and Domiciliary Unit (PHDU) DOTS Center in 2005, both in Quezon City. More centers are being set-up as PMDT expands in the country. Likewise, the Treatment Sites are increasing in number as more patients are endorsed from Treatment Centers to these DOTS facilities in the community. These are mostly the public health centers and a number of PPMD units, faith-based organizations and non-governmental organizations. The chart on the next page illustrates how the health care delivery system for MDR-TB management is organized in the Philippines.
INTRODUCTION
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