RIT/ JATA Philippines, Inc.
Activities and Accomplishments
STOP TB Partnership Forum – Asia
March 14-15, 2016

About us….
Research Institute of Tuberculosis /Japan Anti-Tuberculosis Association
Philippines, Inc.
(RIT/ JATA Philippines, Inc.)RIT/JATA Philippines, Inc.
• Local-based NGO• Established in 2008
• 7 staff

Accreditation/Membership• Securities and Exchange Commission• Philippine Council for NGO Certification• NTP – Technical Working GroupJATA(Japan)JATA HQ

RIT

Hospital

Overseas
OfficeExtension office

PHILIPPINESCAMBODIAZAMBIA

47 Officebranches

Vision:TB- Free Philippines
Mission:To contribute to the NTP of the Philippines intheir goal of ensuring that quality TB services areavailable, accessible and affordable for all TB
patients.

Objective:
To improve the access of the community to quality
DOTS implementation by strengthening the linkage
between GOs and NGOs/private organizations

PhilPACT Strategies• Strategy 1: Localize implementation of TB Control• Strategy 2: Monitor health system performance• Strategy 3: Engage both public and private TB careproviders• Strategy 4: Promote and strengthen positive
behavior of communities

PhilPACT Strategies• Strategy 5: Address MDR-TB, TB/HIV and theneeds of vulnerable populations• Strategy 6: Regulate and make available quality TB
diagnostic tests and drugs• Strategy 7: Certify and accredit TB care providers• Strategy 8: Secure adequate funding and improve
allocation and efficiency of fundutilization.

THE TUBERCULOSIS PROJECT IN SOCIO-ECONOMICALLY URBAN AREAS IN
METRO MANILA, THE PHILIPPINES
2008- June 2011
Funded by : Ministry of Foreign Affairs

TB CONTROL AND PREVENTION PROJECT IN SOCIO-ECONOMICALLYUNPRIVILEGED AREAS IN METRO MANILA, THE PHILIPPINES
2011- June 15, 2014
Funded by : Japan International Cooperation Agency

Project Sites
POPULATION
2013

405, 125

Urban poor
population

193, 746(47.8%)

Land Area

5.64 sq km

Population
density(sq. Km2)

71,831

10 Health Centers
2 NGO DOTS Facilities
14 NGO Referring Facilities

POPULATION

2013

120, 633

Urban poor
population

108, 063(90%)

LAND AREA

3.21 sq km

Population
density(sq. Km2)

37,580

3 Health Centers
3 NGO DOTS Facilities
1 Referring Facility

Interventions

Engagement of NGOs
Canossa

Sto De Tondo Charity Clinic

German Doctors

PAOFISaint Luigi Orione

700

NGO DOTS’ Contribution- Tondo,
2007 - 2012

600500

LGU

400

NGO
300
District I- Tondo, Manila
200

10002007

2008

20092010

2011

2012

LGU

407

374

406

449

464

512

NGO

146

152

169

155

157

133

District I- Tondo, Manila

553

526

575

604

621

645

NGO DOTS’ Contribution -Payatas
250

200

150

LGU
100

NGO
Payatas, Quezon City

500

2007

2008

20092010

2011

2012

LGU

85

75

109

117

101

125

NGO

45

4690

92

107

105

Payatas, Quezon City

130

121

199

209

208

230

Capacity Building
Basic TB DOTS Training

Infection Control Training

Appreciation Course for CXR
Basic DSSM Training for Medical Technologist

Interpersonal Communication and CounsellingOrientation of CHV in NTP Program

Basic DSSM Training for Lab Assistants

Orientation of CHV on Basic
STI HIV and AIDS Education

CHV AssemblyNetwork and Linkage (ACSM Activities)

Development of Recording Forms

Monitoring Tool

CHVs’ Contribution to DOTS FacilityTondo, 2010-2012

2000
1800
1600
1400
1200
1000
800
600
4002000

DOTS Facility
NGO Referring

DOTSFacility
NGO
Referring

2010
1014
432011
1599282012
184642

CHVs’ Contribution to DOTS Facility –Payatas, 2010-2012
1000
900
800
700
600
500
400
300
200
1000

DOTS Facility
NGO Referring

DOTS Facility
NGOReferring

201045462011
898222012
84616

Monitoring and Evaluation VisitsDevelopment of Policies/Guidelines

Operational Researches Conducted• Effectiveness of Training Course on Quality
Assurance of Chest Radiography• Health Care Seeking Behavior of Pulmonary TBPatients• Research on Tuberculosis Diagnostic
Committee (TBDC)

Accomplishment in the two project sites• Engagement of NGOs (combined in both sites):
oNumber of NGOs from 3 (2008) to 5 (2010)
oNumber of NGO referring facilities: 4 (2008) to 15 (2012)• Percent contribution (combined in both sites) :oPercent contribution of NGO DOTS to TB Cases ranged
from 27. 9 % to 41.6 % (2007 to 2012)
oPercent community contribution to TB Cases ranged
from 2.1 % to 3.3 % (2010 to 2012).

TECHNICAL ASSISTANCE SERVICES TO CAPACITATECOMMUNITY BASED ORGANIZATIONS (CBOs) AS RURALHEALTH UNITS ( RHUs) PARTNERS IN TUBERCULOSIS CONTROL
January 15, 2015 – April 30 2016
Funded by : Philippine Business for Social
Progress/Innovations on Multi-Sectoral Partnership toAchieve Control of TB (PBSP/IMPACT)RIT/ JATA (RJPI)Technical Assistance(Initial)

PBSP-IMPACT
Establish Network /linkage withRHO/PHO/MHO/RHUs/ CBOs
Capacitybuilding

Training

Recording andReportingJoint Monitoringand Evaluation(PHO/MHO/RHU/BHS)

Project Goal
• To increase the case detection rates and toimprove or maintain Cure Rates in the six
municipalities of Bulacan.

Project Areas

Province of Bulacan

Criteria for Project site selection• Low TB performance ( LGU ) because of low
utilization of DOTS services by the target clients– Low awareness of the TB disease– Stigma– Distance and cost in going to the facility– Lack of public involvement• Strong political support• Presence of CBOs

Roles of CBOs
• Identify and refer presumptive TB to Rural
Health Units (RHUs)• Provide TB education• Supervise TB treatment of patients

Roles of CBOs
• Encourage contacts of TB cases undergo TB
screening at health centers• Follow-up presumptive TB (who were not ableto access RHUs) and interrupters of treatment

Contribution of CBOs to the 6municipalities of Bulacan

Municipalities

No. of TB All Forms
RHU
CBO% contribution byAccomplishment
Accomplishment
CBO to RHU
1130
837%

Challenges• Leadership and Governance– Continuity of adherence to policies (municipalordinance) and make necessary amendments ifneeded;– Continuity of supportive supervision among
NGOs.

• Health Information system– Utilization of data to inform policy change

Challenges• Health financing: reduce financial burden amongclients• Health Resources for Health: deployment of support
systems and enabling environment; keep themotivation of Community Health Volunteers• Essential medical products and technologies:
Balanced diagnostic and treatment supplies

Challenges• Service delivery: Patient- centered approach
care; improvement of access to quality TB
services• Lack of funding support to continue ourcommunity-based TB activities

Future Directions• TB and Universal Health Care
• TB and Tobacco• TB and Diabetes (?)• Promote gender equality (?)

。