The CATCH TB Cases Project

Project's accomplishments June 2010 - March 2013

Hospital engagement

  • Implementing guidelines on hospital TB DOTS and various tools have been developed.
  • Enhancing TB care and services with the establishment or upgrading of TB clinics manned by trained hospital TB teams. Medical technologists were also trained to provide quality-assured sputum microscopy. TB Diagnostic Committees that review smear negative TB cases have been organized.
  • 17 hospitals detected 23,403 TB cases. Of these cases, 16% are children. Eleven percent had extrapulmonary TB. Of these cases detected, 16,828 TB cases were managed and successfully referred.
  • Technical assistance provided in the scale-up of the hospital engagement in the various Regions of the Country.
  • Advocacy and communication materials regarding the enhanced hospital TB DOTS referral system has been developed.

Household contact investigation

  • Around 42,918 household contacts of 15,121 TB cases registered by the 87 health centers were investigated by health center staffs. Of these household contacts, 838 secondary TB cases were detected and given free treatment. Majority of these secondary TB cases are children less than 15 years old. Two hundred twenty-two children 0-4 yrs. old were provided isoniazid preventive therapy (IPT).
  • Enhanced symptomatology and chest x-ray were used as a screening tool.
  • Policies and guidelines on contact investigation were developed and incorporated in the 5th edition of the NTP Manual of Procedure.

High risk group screening

  • This strategy aims to ensure access to quality TB care by vulnerable populations including the urban poor and diabetic patients.
  • 20 urban poor communities in five cities participated in identifying and referring TB suspects to the health centres, 405 TB patients were identified and treated.
  • Initiated harmonization of guidelines on TB in urban poor with partners implementing the same initiative (i.e. GFATM thru the World Vision Development Foundation, Inc. (WVDFI) and Research Institute of Tuberculosis /Japan Anti-TB Association
  • TB-DM was implemented in four (4) hospitals. There wer 5,821 diabetics screened for TB and 123 were confirmed to be TB cases.