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課題別指針



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課題別指針(全文)

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2012/09/06 11:18



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人間開発部、保健医療課題タスクフォース






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課題別指針 結核対策(英文)





【概要】

JICA結核対策課題別指針は、結核対策に関する主な概況や援助動向、アプローチや手法に係る進歩を整理したうえで、
これまでの経験からJICAの協力の比較優位を明らかにし、JICA関係者がより効果的に結核対策に取り組むべく作成されている。


●PDFダウンロードはコチラ↓↓
Thematic Guidline TB.pdf


【目次】------------------------------------------------------------------------------------------------------
Thematic Guidelines
Tuberculosis Control
Preface
Overall view of development issues in TB control
Overview

Chapter 1: Outline of tuberculosis and tuberculosis control 1
1 – 1: Prevalence and burden of tuberculosis 1
1 – 2: Disease called tuberculosis 2
1 – 2 – 1: Infection with Mycobacterium tuberculosis and the onset of disease 2
1 – 3: Global initiatives for tuberculosis 4
1 – 3 – 1: Global strategies to stop TB 5
1 – 3 – 2: High-burden countries 6
1 – 3 – 3: Targets to stop TB 7
1 – 3 – 4: Expansion of DOTS and future prediction of TB 7
1 – 3 – 5: Declaration of health emergency of TB in Africa 8
1 – 3 – 6: New strategies from 2006 9
1 – 4: Major international organizations for TB control 10
1 – 4 – 1: Stop TB Partnership 10
1 – 4 – 2: The International Union Against Tuberculosis and Lung Diseases
(IUATLD) 11
1 – 4 – 3: Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) 12

Chapter 2: Approach to tuberculosis 14
2 – 1: Capacity development for DOTS implementation (Midterm goal 1) 14
2 – 1 – 1: What is DOTS? 14
2 – 1 – 2: Components of DOTS 15
(1) Political commitment with increased and sustained financing 16
(2) Case detection through quality-assured bacteriology 16
(3) Standardized treatment, with supervision and patient support 16
(4) An effective drug supply and management system 16
(5) Monitoring and evaluation system, and impact measurement 16
2 – 1 – 3: Case detection and monitoring of treatment under DOTS 18
2 – 1 – 4: Characteristics of DOTS 19
2 – 2: Capacity development for Beyond DOTS implementation for the vulnerable population
(Midterm goal 2) 20
2 – 2 – 1: Measures of greater importance under Beyond DOTS 22
(1) Community DOTS 22
(2) Urban DOTS 23
(3) Public-Private Mix (PPM) 25
(4) TB/HIV (TB/HIV co-infection) 25
2 – 2 – 2: Others 29
(1) Multidrug-resistant tuberculosis control (DOTS Plus) 29
(2) Childhood tuberculosis 31
2 – 3: To summarize JICA’s past cooperation 32
2 – 3 – 1: Technical cooperation 34
2 – 3 – 2: Cooperation through training, etc. 34
2 – 3 – 3: Application of a modified DOTS strategy for each country 35
2 – 3 – 4: Grant aid 35
2 – 3 – 5: Collaboration with volunteer projects 36
2 – 4: Human security and tuberculosis 36
2 – 5: Gender and tuberculosis 39

Chapter 3: JICA’s cooperation policy on TB control 40
3 – 1: JICA’s cooperation policy on TB control 40
3 – 1 – 1: Give priority to High Burden countries 40
3 – 1 – 2: Place an emphasis on the strengthening the quality of DOTS 47
3 – 1 – 3: Support the Beyond DOTS strategy 47
3 – 2: Notes concerning JICA’s cooperation policy on TB control 48
3 – 2 – 1: Cooperation primarily for human resource development, institution building and system building
(i.e., capacity development) 49
3 – 2 –2: Secure the sustainability of the quality maintenance and improvement entailed in the TB control project 49
3 – 2 – 3: Introduce a system modified for each country through implementing a model project, etc. 49
3 – 2 – 4: Make full use of the advantage of each scheme for effective cooperation
. 49
3 – 2 – 5: Cooperation in closer partnership with international organizations and aid organizations 50
3 – 3: Issues concerning the execution of JICA’s cooperation policy on TB control 53
3 – 3 – 1: To systematize cooperation programs to meet the needs and conditions of each country 53
3 – 3 – 2: Development and strengthening of input resources 56
3 – 3 – 3: To strengthen information collection and transmission concerning DOTS 57
3 – 3 – 4: To strengthen the implementation system to address new challenges 58

Appendix 1: Major examples of cooperation
Appendix 2: Basic check items

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