The National TB Control Program, organized in 1978 and operating within a devolved health care delivery system, is one of the public health programs being managed and coordinated by the Infectious Diseases for Prevention and Control Division (IDPCD) of the Disease Prevention and Control Bureau (DPCB) of the Department of Health (DOH). Headed by a program manager and supported by 20 technical and administrative staff, it has the following mandate: (1) develop policies, standards and national strategic plan, (2) manage program logistics, (3) provide leadership and technical assistance to the lower health offices/units, (4) manage data, and (5) conduct monitoring and evaluation. The programs TB diagnostic and treatment protocols and strategies, issued through the Manual of Procedures, are in accordance with the policies of World Health Organization (WHO) and the International Standards for TB Care (ISTC). Its last strategic plan was the 2010-16 Philippine Plan of Action to Control TB or PhilPACT.
Table 1. Status of the impact targets
|Incidence Rate||Less than the baseline||322/100,000||Achieved|
For the outcome targets, the case detection rate and treatment success rate for drug susceptible TB were achieved by the end of 2016. However, the targets for case detection rate and treatment success rate for drug resistant TB cases were not achieved. Table 2 shows the accomplishment for the outcome targets.
Table 2. Status of the outcome targets
|Case Detection Rate, Drug Susceptible (All forms)||90%||92%||Achieved|
|Treatment Success Rate, Drug Susceptible (All Forms)||90%||92%||Achieved|
|Case Detection Rate,Drug Resistant TB||62%||32%||Not Achieved|
|Treatment Success Rate, Drug Resistant TB||75%||49%(2012 cohort)||Not Achieved|
Of the five (5) output targets, only two (40%) were achieved. These are the number of TB patients provided with treatment and number of TB patients counseled and tested on HIV. See Table 3 for the status of the said indicators.
Table 3. Outcome Indicators
|No. of TB symptomatics provided with DSSM||5.5 million||4,717,535||Not achieved;Patients who underwent examination using Xpert MTB/Rif as a primary diagnostic tool is not accounted for.|
|No. of TB patients provided with treatment||1.5 million||1,701,059||Achieved|
|No. of children provided with treatment or preventive therapy||730,000||181,728||Not achieved; There were inadequate stocks of drugs for children due to quality issues of the procured drugs and low uptake of IPT.|
|No. of MDR-TB detected and provided with second line anti-TB drugs||19,500||18,886||Not achieved due to lack of access to diagnostic and treatment facilities for drug resistant TB cases.|
|No. of TB patients provided with PICT on HIV/AIDS||45,000||57,590||Achieved|