Conclusions & Recommendations
19.4.1 - Kenya
Conclusion/Recommendation:
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.
Action:
The MDA was conducted using in-country inventory.
TEC 19
2018
Africa - East
Kenya
supply chain, Zithromax® donation criteria
19.4.2 - Kenya
Conclusion/Recommendation:
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
Action:
These requirements have been put in place for the upcoming shipments.
TEC 19
2018
Africa - East
Kenya
supply chain, Zithromax® donation criteria
19.4.3 - Kenya
Conclusion/Recommendation:
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.
Action:
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®.
TEC 19
2018
Africa - East
Kenya
Zithromax® donation criteria, evaluation units
19.5.1 - Central African Republic
Conclusion/Recommendation:
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.
Action:
In spite of initial efforts, adequate funding has not yet been identified.
TEC 19
2018
Africa - Central/Southern
CAR
ICTC, funding, recommendations for ITI management
19.6.1 - Minimizing risk to trachoma MDA participants
Conclusion/Recommendation:
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.
Action:
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.
TEC 19
2018
dosing
19.7.1 - Analysis of areas not reaching the TF elimination threshold
Conclusion/Recommendation:
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.
Action:
Jeremiah Ngondi and Kristen Renneker will update TEC20 participants with their proposed analysis plans for feedback.
TEC 19
2018
end game, persistence, recommendations for ITI management, TEC meeting management
19.8.1 - ITI Supply Chain - 1
Conclusion/Recommendation:
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.
Action:
ITI’s Supply Chain team will present their draft plans at TEC20 for feedback.
TEC 19
2018
supply chain, recommendations for ITI management
19.8.2 - ITI Supply Chain - 1
Conclusion/Recommendation:
TEC recommends that ITI review existing country supply chain data and identify conditions that could predict future supply chain challenges, and prioritize those countries for proactive assessments.
Action:
ITI’s Supply Chain team will present their draft plans at TEC20 for feedback.
TEC 19
2018
supply chain, recommendations for ITI management
19.9.1 - ITI Supply Chain – 2
Conclusion/Recommendation:
TEC recommends that in addition to their supply chain capacity building among Ministry staff, ITI work with implementing partners in recipient countries to strengthen their capacity to identify and respond to supply chain issues.
Action:
TEC recommends that in addition to their supply chain capacity building among Ministry staff, ITI work with implementing partners in recipient countries to strengthen their capacity to identify and respond to supply chain issues.
TEC 19
2018
supply chain, recommendations for ITI management
19.9.2 - ITI Supply Chain – 2
Conclusion/Recommendation:
TEC commends the ITI Supply Chain team for its diligent “above and beyond” follow-up on in-country supply chain issues that have arisen.
Action:
No action required
TEC 19
2018
supply chain