Since this health worker is responsible for supporting all local disease and health efforts, the successful use of this cadre for community mobilization for TB is another important sustainability factor. Social mobilization capacity is a distinctive Philippines asset that warrants further development to strengthen even more the community participation in expanded TB control. Social mobilization at the community level increases resources for TB control and further helps to integrate it into local and community development programmes. The greater the integration with local development priorities, the better the prospects for sustainability. The main immediate challenge is the procurement of essential drugs to support expansion.
Expansion is ineffective without a reliable drug supply.
An additional constant challenge is to maintain the priority status of TB and essential quality components in a sometimes volatile health reform process. The involvement of the burgeoning private sector in a regulated but productive role in TB control is also an ongoing challenge. At the operational level, the major challenge is to strengthen the information system and institutionalize it for improved management and greater resources efficiency. Successful transition within health sector reform as part of nationwide changes in governance. Strong political commitment at all levels.