Conclusions & Recommendations
22.9.1 - Côte d’Ivoire
Conclusion/Recommendation:
TEC recognizes the difficulty in interpreting the survey results in Korhogo, where baseline surveys were conducted at the same time as administrative redistricting resulting in a poor match of survey evaluation units and administrative districts. TEC approved the application for one round of MDA followed by impact surveys for the entirety of each of the new Korhogo districts (Korhogo 1, Korhogo 2, Dikodougou, Mbengue, Sinematiali). The TEC recommends to the NTD program of Côte d’Ivoire that impact surveys be conducted along the new administrative unit structures and not the previous survey evaluation units.
Action:
The recommendation has been shared with the country
TEC 22
2020
Africa - West
Côte d'Ivoire
evaluation unit
21.1.1 - ITI Supply Chain
Conclusion/Recommendation:
Continue to monitor actual ratio of POS and tablets reported to be administered by countries, and report back to TEC.
Action:
ITI’s Supply Chain team have collected country-by-country data on the ratio of POS and tablets used as reported by the countries, and will report on this during TEC 22.
TEC 21
2019
supply chain, recommendations for ITI management
21.2.1 - ASCEND – Crown Agents
Conclusion/Recommendation:
TEC welcomed the presentation on Crown Agents’ plans and encourages them to successfully implement without delays.
Action:
Some Requests for Proposals were released but we have not yet heard news on selection of sub-grantees.
TEC 21
2019
funding
21.2.2 - ASCEND – Crown Agents
Conclusion/Recommendation:
TEC recommends that ITI continue to invite high level representation from Crown Agents at future TEC meetings.
Action:
A representative from Crown has been invited to participate in TEC 22.
TEC 21
2019
TEC meeting management
21.3.1 - PAHO Initiative
Conclusion/Recommendation:
The TEC recognizes the challenges facing the Americas to eliminate trachoma particularly among indigenous populations in the Amazon Basin. The TEC recommends that ITI consult with PAHO to identify areas of technical and/or financial support within the ITI mandate that would support PAHO in its leadership role in trachoma elimination.
Action:
High-level visit from PAHO to The Task Force in Q1 2020 to discuss the PAHO NTD Roadmap and areas for future collaboration. It was agreed that there would be an overarching MOU between TFGH and PAHO to facilitate access to Zithromax® and technical advice.
TEC 21
2019
Americas
special populations, recommendations for ITI management
21.4.1 - Colombia
Conclusion/Recommendation:
TEC recommends that ITI send a high-level delegation to Colombia (including PAHO and TEC liaison) to discuss with the Ministry of Health the MDA strategy and delivery of the donation program, to determine:
-the baseline survey sampling frame
-the basis by which communities are targeted for treatment or excluded from treatment
-plans to evaluate program impact
-how coverage is reported
-whether the populations are static or migratory, and if migration crosses departmental or country borders
-whether funding is available for treatments and surveys
Action:
A joint PAHO-WHO-ITI visit, planned for March 2020, was postponed due to COVID-19. ITI hopes to reschedule this visit when it is safe to do so. In the interim, there is no 2021 Zithromax® Application.
TEC 21
2019
Americas
Colombia
surveys, special populations, recommendations for ITI management, suspected endemic, funding
21.5.1 - Trachoma Surveillance
Conclusion/Recommendation:
TEC acknowledges the need for robust surveillance to ensure the investments made to date are not lost; however, the required surveillance is not at present clear and there is a need to clarify this.
There are several steps that need to be taken to clarify the bigger picture, and ITI has a role to play itself and in collaboration with other partners.
Surveillance should be a theme in upcoming ITI-supported regional meetings and in discussions with Ministry of Health colleagues.
Action:
Ongoing; activities are on hold due to COVID-19.
TEC 21
2019
surveys, end game
21.6.1 - Zithromax® Management After Stopping MDA
Conclusion/Recommendation:
While ITI closely manages final shipments based on inventory reports to minimize drug remaining in country, there is likely to still be some donated Zithromax® in-country after MDA stops. Countries should be reminded of the ICTC Transition manual
TEC recommends that ITI trial: extending the MOU with the country beyond the end of shipments; conducting a ‘close out’ supply chain assessment in transitioning countries
Action:
Recognizing the challenge of predicting the last needed Zithromax® shipment (while awaiting results of impact and surveillance surveys; e.g., Uganda), ITI is extending country MOUs and the Supply Chain team is preparing for close-out assessments where appropriate.
Ongoing
TEC 21
2019
supply chain, end game, recommendations for ITI management
20.1.1 - General Recommendations to ITI
Conclusion/Recommendation:
TEC recommends to ITI Management: Reconsider the layout of the agenda to increase clarity around timing of topics to be addressed.
Action:
We have endeavored to make the agenda more topic-by-day-specific for TEC 21; however, we do not want to constrain discussion where it is needed, neither do we want to prolong discussion where it is not needed. We therefore do not assign specific time slots to topics.
TEC 20
2019
TEC meeting management
20.1.2 - General Recommendations to ITI
Conclusion/Recommendation:
TEC recommends to ITI Management: On Applications:
-Instead of using the term “Elimination achieved”, use the term “TF threshold achieved” for districts where surveillance surveys are TF1-9 < 5%
-Change “Cumulative distributions” column to “Total number of MDAs from 20XX to present” and include a total count of all MDAs
-Highlight TT values ≥0.2 threshold
Action:
- We have addressed this by changing the language to “Threshold Achieved” in districts where the surveillance survey results are TF1-9 <5%.
- This will be done for TEC 22 Applications.
- This has been done in the new Application export and can be seen on TEC 21 Applications.
TEC 20
2019
TEC meeting management