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National Tuberculosis Coordinating Center (NTCC)

 

Introduction

 

On 20th July 1999, WHO consultant on TB visited Brunei Darussalam to study the existing situation and advised on the implementation of NTP (National Tuberculosis Control Programme). On 29th March 2000 NTP was launched along with the first edition of National TB Guidelines and the NTP-Committee was established in the same year. The National Tuberculosis Coordinating Centre (NTCC) in Kiarong became functional from December 2000

 

The centre is responsible for programme implementation, monitoring, coordinating and evaluation of TB prevention and control activities at all levels. This centre is managed by the Programme Manager with the help of Hospital and Health NTP Coordinators, DOTS Coordinators and TB Health Workers.

 

 

Achievements throughout the years

Brunei Darussalam has come a long way in the fight against tuberculosis. TB rates fell from more than 500 cases per 100 000 populations in 1960s to below 100 cases per 100,000 populations in the 1980s due to economic development, improved public health, better diagnostic facilities and treatment.

The formation of the NTP, along with an increased awareness of TB control services with an increase in identification and treatment of cases resulted in a reduction of TB incidence to 91.96 per 100,000 populations in the year 2000. The annual TB incidence rate continued to gradually decrease to 44.04 per 100,000 populations in 2005 and has remained at 60.81 per 100,000 populations until 2012.

 

Here are the Vision, Mission, Goal, Objectives, Strategy and Targets of the National Tuberculosis Coordinating Center (NTCC)

Vision

A Tuberculosis-free nation

 

Mission

To promote the early detection and treatment of all TB cases in the community and protect the community from the risk of TB transmission

 

Goal

1. To reduce the incidence of TB in Brunei Darussalam by 2015;

2. To continue reducing the prevalence and deaths due to TB by 50% in 2015

 compared to the year 2000;

3. Eliminate TB by 2050

                 

                                                                                                 

Objectives

1. Achieve universal access to quality diagnosis and patient-centred treatment

2. Protect vulnerable populations from TB, TB/HIV, MDR-TB and XDR-TB

3. Expand and strengthen TB/HIV collaborative activities

4. Intensify case-finding amongst identified high-risk population

 

Targets

1. To achieve a cure rate of over 85 % annually 

2. Proportion of notified TB cases among children under 14 years of age to less than 2 % of

     all cases annually

3. To reduce annual HIV prevalence amongst TB patients to less than 2 % by:

- Co-trimoxazole Prevention Therapy (CPT) coverage among TB-HIV co-infected 

   patients (100%)

- People living with HIV shall receive periodic TB screening (at least 3 times a year)

- People living with HIV shall receive Isoniazid Preventative Therapy (as indicated)   

   (100%)

 

Strategy

The Global Plan to Stop TB (the Stop TB Strategy) was launched through the "Stop TB Partnership" in 2001. This strategic plan serves as a roadmap for reaching the goals of ensuring access to treatment and cure, protection of vulnerable populations from TB, and a reduction in the social and economic tolls of TB on families, communities, and nations. Components of the Stop TB Strategy are:

 

1. Pursue high-quality DOTS expansion and enhancement

2. Address TB-HIV, MDR-TB, and the needs of poor and vulnerable populations

3. Contribute to health system strengthening based on primary health care

4. Engage all care providers

5. Empower people with TB, and communities through partnership

6. Enable and promote research


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