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Promote an uninterrupted supply of TB drugs of high quality, efficacy and safety and their rational use by creating a mechanism for quality assurance of first-line TB drugs. • Strengthen TB recording and reporting within the national surveillance system, and use TB data at the federal and regional levels for quarterly monitoring of TB services. • Mainstream the prevention and management of TB in children as part of routine NTP activities. Activities to address MDR-TB, TB/HIV and other challenges The Ministry of Health and Social Development acknowledges high and increasing levels of MDR-TB in the country and is scaling-up specific interventions with the support of the Global Fund.
Activities to engage all health care providers The state PHC and TB services have the mainly responsibility for TB detection, diagnosis and treatment in the Russian Federation. Private sector involvement in TB control is very limited and little explored. TB control is also part of health interventions by other parties than the Ministry of Health and Social Development, such as the ministries responsible for justice, defence and penal institutions, and big corporations such as Russian Railways, oil and gas companies, etc.
Table 12 gives an overview of the countries’ activities for empowerment. Table 12. Overview of activities to empower people with TB and communities in the eastern European countries belonging to or candidates for membership in the EU, 2006 Country NTP with written ACSM plan NTP measuring ACSM impact through population surveys Community-based TB care Patients’ Charter for TB Care Bulgaria – – – – Estonia – – – – Latvia – – – ++ Lithuania – – – – Romania – – + ++ Turkey – – ++ – Note. ++ = yes/all; + = some/partially; – = no/none.