TB ACTION PLAN

Results of discussion and agreement

 ACTION AREA

1. Governance
2. Service Delivery
3. Surveillance and Monitoring
4. Supportive system for community
engagement
 Activity Results of discussion and agreement
Action Area 1: Governance
1. Providing TB diagnosis 1. Cross-border TB patients will receive TB treatment at public primary health
and treatment services care level.
1) At the public primary 2. Both countries agreed to open access and provide TB diagnostics for free
for cross-border TB presumptive cases.
health care; 2)
3. The option offered to cross-border TB patient for treatment:
Reimbursement of
 Referral back: the patient can come back to their country at their will for
payment in case full course treatment.
accessing health  Patient receiving treatment at neighboring country, using TB drugs
facilities which have user packages sent by TB program of their origin country. The follow up
fees; 3) To create and examination will provided for free at the exneighboring country.
maintain line list of 4. Follow up and treatment outcome will be informed through focal point at
service providers in both district level.
Countries 5. Other mechanism such as re-imbursement considered as too
complicated and need high level agreement.
6. District and Provincial Health Office request central government to
develop clear regulation for provision of health services in cross-border
areas.
Note for record:
The cross-border TB patients also found from Maluku province. Further
discussion involving Maluku PHO is required to address the similar governance
issues.
 Activity Results of discussion and agreement
Action Area 1: Governance
2. Mobilize funds from
Bilateral/ Multilateral/
1)Funds mobilization for cross border activity
Domestic funding source will be subject of country policy and
regulation.
2)Funds mobilization from GF through
multilateral proposal to support cross-border
activity is considered as not practical for
current timeline period
 Activity Results of discussion and agreement
Action Area 2 : Service Delivery

1. Prevention, 1) Contact Investigation and Treatment of LTBI: Contact Investigation

and LTBI screening will be conducted by responsible primary care
Diagnosis and providers in both countries following national guideline and
Treatment policy. Joint contact screening is not advisable.
2) District TB focal point will directly contact their counterparts to
conduct contact investigation if any cross-border TB patients
found. Data for CI and LTBI screening results will be shared.
3) Capacity to implement early diagnosis of TB including DR-TB
(Smear microscopy, rapid molecular test and C/DST) are
considered sufficient in border areas. National TB program both
countries agreed to improve referral system from borders area to
each national referral laboratories.
4) Both countries agreed to ensuring prompt and effective
treatment. Close coordination and direct communication between
district focal point will be strengthening to ensure patient could
receive treatment as soon as possible.
 Activity Results of discussion and agreement
Action Area 2 : Service Delivery
2. No deportation Both countries agreed to ensure that patients
before the end of have options for treatment.
treatment/ The options are:
intensive phase 1)The patient can come back to their country at
and ensuring their will for treatment
continuation 2)The patient can stay in their neighbor country.
phase treatment The district health office from the origin country
will prepare the drugs packages and sent the
will be followed
drugs. Health provider nearest with their
address in neighbor country will manage and
observe treatment.
3)The cost for diagnosis and follow up will be free
in both country (notes: in Indonesia for the
microbiology exam only).
 Activity Results of discussion and agreement
Action Area 3 : Surveillance and Monitoring
1. Effective transfer of patient Establish district to district communication channels.
records, and feedback to
the center sending patients
Methods of communication: direct telephone, Whatsapp
by establishing periodic Group and Email to share patients data, referals
meeting/ coordination, both data,etc.
online and offline at the All district TB officer and related staffs i.e. from border
cross-border areas
services will be listed as focal points.
Regular meeting twice a year. First meeting during
National Cross Border Meeting, the second meeting
allocated for district focal points from 4 districts of RDTL
and 5 districts from East Nusa Tenggara Province. It is also
agreed that the district focal point meeting will utilize
Information Technology such as Teleconference as
modality of meeting to avoid budget/financial constraint.
 Activity Results of discussion and agreement
Action Area 3 : Surveillance and Monitoring
3. Share relevant Will be regularly conducted during districts/
indicators at country national cross border meetings. Data will be
and regional level to shared during meetings:
measure progress
Program performance such as Case detection,
Treatment outcome, Co- infection TB /HIV, DR TB
case findings.
Specific data from cross border districts.
 Activity Results of discussion and agreement
Action Area 3 : Supportive system for community engagement
3. Empower patient and Patient and Community empowerments:
community for engaging
with TB service providers
Both countries have almost similar mechanism for
through appropriate community and patient empowerment, only differs on
counselling services, patient amount of supports and disbursement modalities.
education and awareness Countries will expand the efforts and coverage of the
supports which currently focusing on DR TB patients to
cover also DS TB patients follows country policy and
regulation.
Countries will improve mechanism to provide appropriate
supports, improve patient education and awareness
working with available CSO/community cadres/
volunteers in border region.
No Name Institution Telephone/ WA Email
number
INDONESIA
1 NOVITA MOEDA East Nusa Tenggara 081236166388 novimoeda@ymail.com
Province Health
Office
2 REMIMORIS Timor Tengah 081231670455 ellodjo44@gmail.com
MELLO Selatan District
Health Office
3 MAXIMILA LELO Timor Tengah Utara 081237399396 imelche@gmail.com
LARAK District Health Office
4 DESRIANA D.M. BELLU 085237128912 desrymilani@gmail.com
SERAN District Health Office
5 AGUSTINUS M. BELLU 081289339924 maliagus29@yahoo.com
TEUK District Health Office
6 REMIGIUS KUPANG 081338056899 duatiga.guns@yahoo.com
GUNAS District Health Office
7 DOMINGGUS Port Health KUPANG 085239474524 bobbylenda@yahoo.com
LENDA
8 DR. HENRY PLBN MOTAMASIN 08113874131 hernydesmania29@gmail.com
DESMANIA KAB. MALAKA
9 RISWAN PLBN. NAPAN KAB. 085242537025 riswanaqil@yahoo.com
TTU
10 DR. HINDARTI PLBN. WINI KAB. TTU 082135770066 hindarti27@gmail.com
11 DR. EWALDA PLBN. MOTAIAN 081330188142 ewaldaesuratrigis@gmail.com
KAB. BELLU
12 SIMON KOPI TB NTT 82143566609 simon_adhe@yahoo.com
SANIKLEDEN
TIMOR LESTE
1 Nicodemos Joe ADTC Dili
Fonceka
2 Ireneu Gusmao DTC Covalima
3 Lourenco MOniz DTC Bobonaro
4 Tomas Vasco DTC Oecusse