Conclusions & Recommendations
TEC 19
19.8.1 - ITI Supply Chain - 1
2018
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TEC commends the ITI Supply Chain team for their ongoing health systems strengthening efforts through supply chain capacity building. TEC recommends that ITI create and implement a proactive, systematic supply chain strengthening plan, including formal documentation of preferred practices and development of materials that could be shared with other NTD programs.
Conclusion/Recommendation:
ITI’s Supply Chain team will present their draft plans at TEC20 for feedback.
supply chain, recommendations for ITI management
TEC 19
19.7.1 - Analysis of areas not reaching the TF elimination threshold
2018
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TEC recommends that ITI identify the key programmatic questions, develop an analysis plan for review by TEC, and carry out analyses using existing data from areas not reaching the TF elimination threshold.
Conclusion/Recommendation:
Jeremiah Ngondi and Kristen Renneker will update TEC20 participants with their proposed analysis plans for feedback.
end game, persistence, recommendations for ITI management, TEC meeting management
TEC 19
19.6.1 - Minimizing risk to trachoma MDA participants
2018
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TEC endorses:
• The goal of zero deaths due to choking
• The initiative presented to strengthen MDA training and the translation of training into practice to reduce risk to MDA participants.
Conclusion/Recommendation:
The new dosing guidelines have been fully rolled out; all ICTC members and national programs have adopted them in their programs. David Addiss will update TEC participants during TEC20 about the consultation in Ethiopia to minimize risk to MDA participants.
dosing
TEC 19
19.5.1 - Central African Republic
2018
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Africa - Central/Southern
Given the current lack of adequate funds, TEC recommends that ITI supports efforts by ICTC to advocate for and identify funds to support CAR’s national trachoma program.
CAR
Conclusion/Recommendation:
In spite of initial efforts, adequate funding has not yet been identified.
ICTC, funding, recommendations for ITI management
TEC 19
19.4.3 - Kenya
2018
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Africa - East
TEC determined that North Horr in Marsabit does not meet criteria due to lack of clarity surrounding current prevalence. Once prevalence data and year of survey are clarified, TEC would welcome a mid-year request if treatments are warranted.
Kenya
Conclusion/Recommendation:
The Kenya program decided to conduct a survey in Marsabit County (which includes North Horr sub-county) to determine current prevalence; there is currently no request for Zithromax®.
Zithromax® donation criteria, evaluation units
TEC 19
19.4.2 - Kenya
2018
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Africa - East
For future Zithromax® shipments, TEC awaits confirmation of the following from the Ministry of Health:
-A written quote from Africa Cargo Handling of customs clearance and handling fees based on the commercial invoice
-Assurance of available funds (letter signed by Finance Manager) for quoted customs clearance and handling fees
-A letter from Africa Cargo Handling (or copy of the agreement between Kenya MoH and Africa Cargo Handling) stating immediate payment will not be required from MoH in order for consignment to be released
Kenya
Conclusion/Recommendation:
These requirements have been put in place for the upcoming shipments.
supply chain, Zithromax® donation criteria
TEC 19
19.4.1 - Kenya
2018
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Africa - East
Given the Zithromax® POS that is still being held at the clearing agent, TEC reviewed and approved the use of already-cleared Zithromax® for January treatments in Kajiado and Turkana.
Kenya
Conclusion/Recommendation:
The MDA was conducted using in-country inventory.
supply chain, Zithromax® donation criteria
TEC 19
19.3.2 - Egypt
2018
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Eastern Mediterranean
TEC recommends that ITI support efforts by the EMF Alliance and ICTC to advocate for and identify funds to support Egypt’s national trachoma program.
Egypt
Conclusion/Recommendation:
In process
funding, ICTC, recommendations for ITI management
TEC 19
19.3.1 - Egypt
2018
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Eastern Mediterranean
TEC recommends that ITI Management should support EMR Alliance leadership to facilitate the release of the Zithromax® and other NTD drugs from the Central Medical Store.
Egypt
Conclusion/Recommendation:
After extensive discussion and follow up, Zithromax® has been released from the Central Medical Store. It is unclear what role ITI ultimately played in that situation; we will discuss during the meeting additional ways that we can support the Egypt program.
supply chain, recommendations for ITI management
TEC 19
19.2.1 - Afghanistan
2018
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Eastern Mediterranean
TEC and ITI stand ready to support the MOH of Afghanistan through technical assistance as needed and, once baseline prevalence survey data are available, would welcome an application for Zithromax® where treatments are warranted.
Afghanistan
Conclusion/Recommendation:
Results from the first 25 districts are now in, and one evaluation unit comprising three districts has a TF1-9 prevalence between 5-9%. ITI management will discuss in-person with the program coordinator at the upcoming GET2020 Alliance meeting and/or at the EMR Alliance meeting this September to determine whether they intend to apply for donated Zithromax®.
suspected endemic