2010-09-29-世界卫生组织-Report_of_the_10th_Meeting_of_the_Strategic_and_Technical_Advisory_Group_for_TB_28页_263kb

报告摘要

STAG-TB Report Summary: Tenth Meeting

Background & Objectives

World Health Organization's Strategic & Technical Advisory Group (STAG-TB) advises on global TB control strategies under Stop TB Strategy and Global Plan. Meeting in September 2010, it reviewed progress, identified gaps, and provided guidance on: MDR-TB treatment, new drug evidence, diagnostics, early case detection, TB/HIV integration, universal access targets, and regional implementation.

Key Recommendations

1. MDR-TB Scaling Up

Actions needed: Revised support roles including national/regional capacity, strengthened monitoring, better recruitment, operational research, and private sector involvement.
Key points: Harmonized guidelines, systemic innovation, reliable supply chains, and country-specific mechanisms.

2. New TB Drugs/Diagonotics

Prioritized expert meetings for policy development on new drug access, compassionate use, and rational use by regulators.
Support tools: Evidence infrastructure, criteria for policy recommendations, capacity building, and country-level uptake mechanisms.

3. Diagnostics Policies

Negative policy stance against commercial serodiagnostics and commercial IGRAs in low/middle-income regions.
Practical guidance for Xpert MTB/RIF, including systematic roll-out, training, cost-effectiveness, and support logistics & lab integration.

4. Early Case Detection & Universal Access

Operationalize Public-Private Mix (PPM), advocate at ministerial levels, ensure quality care, and include high-risk groups.
Define "Universal Access" via Task Force of Members & Experts, update indicators, and integrate with broader health agendas.

5. TB/HIV Integration & Universal Access

Update policy guidance to include integrated services, define indicators, screen PLHIV for TB, raise global commitment.

6. Integration with Diabetes/TB

Develop TB/DM collaborative framework through health systems with monitoring and pilot implementation.

7. Women & Children's TB Care

Link TB control with maternal health initiatives, test at PMTCT clinics, support operational research.

8. Implementation Management

Strengthen regional STAG-TB support, facilitate "change management" for new tools, engage partners.

Crucial Actions

Establish new mechanisms: universal access Task Force, frameworks for integrated services, resource allocation structures.
Advocacy priorities: combining TB/HIV to ensure program continuity and expand frameworks.