CCM TB Working Group Meeting, July 18, 2014
Protocol N 3 Of the CCM TB working group, technical partners and people affected by the disease
- Mariam Avanesova, Affected by TB
- Gagik Taturyan, NTPCO
- Margik Hovhannisyan NTPCO
- Armida Zakharyan, NTPCO
- Lilit Khachatryan MOH GF PCT
- Lusine Paronyan MOH CDC
- Qristine Khachatryan MOH GF PCT
- Vardan Grigoryan CCM secretary
- Hasmik Margaryan, NTPCO
1. Lilit Khachatryan welcomed the participants, thanked for the attendance and presented CN development progress (planned activities and budjet for 2015-17years) under the NFM of the Global Fund to fight HIV, Tuberculosis and Malaria.
2. Armida Zakharyan asked if it is possible to keep food packages along with the coupon system as a social support component.
3. Lilit Khachatryan answered that introduction of coupon system will be easier in cities where there are developed infrastructures, while in regions and villages probably a mechanism will be developed and it is possible to maintain both variants in parallel.
4. Mariam Avanesova asked if there is a residual amount of money to implement other than mentioned programs.
5. Lilit Khachatryan answered that after endorsing the grant it won’t be possible, but those programs could be foreseen and beforehand be included in grant.
6. Lilit Khachatryan mentioned that as a difference from previous grant in this one collaboration with NGOs and/or other organizations is highly encouraged.
7. Armida Zakharyan asked about frames of KAP investigation.
8. Lilit Khachatryan clarified that whole population will be involved in investigation.
9. Armida Zakharyan asked if it is known that who will carry out that study.
10. Lilit Khachatryan answered that appropriate contracts will be signed with appropriate organizations.
11. Lilit Khachatryan mentioned that the main expenses in the new Concept Note are conditioned with drugs, social support and with acquisition of Gene Expert devices.
12. Armida Zakharyan noticed that implementation of some programs requires presence of operating association of TB patients
13. Lilit Khachatryan agreed to the remark mentioned and emphasized that issues of the patients nobody knows better their selves.
14. Mariam Avanesova reminded that MSF was offering that long time ago.
15. Lilit Khachatryan mentioned that joint workshop with the countries comparable by economic indicators with Armenia will be organized to share experience and information.
16. Armida Zakharyan was interested if migration flows will be somehow controlled.
17. Lilit Khachatryan answered that registration and investigation of the people that travelling many times a year is planned.
18. Armida Zakharyan noticed that marz Gegharquniq is more vulnerable by that concern.
19. Lilit Khachatryan answered that migration problems are the issues of state and interstate discussions and require investigations.
20. Vardan Grigoryan asked if why it is planned notably more amount of money for third line drugs for extensively drug-resistant tuberculosis for 2017 year than 2015-16 years.
21. Lilit Khachatryan answered that for 2015 year MSF will compensate part of expenses, besides increase in cases of extensively drug-resistant tuberculosis is taken into account.
22. Armida Zakharyan was interested if financial encouragement of the med personnel is foreseen by “other” expenses of the grant.
23. Lilit Khachatryan answered that it is not and mentioned that since July this year remuneration mechanism of med workers is being changed and encouragement for successful treatment rate and for proper diagnosed cases is provided.
24. Armida Zakharyan mentioned that encouragement by providing additional vacations or financial encouragement will dramatically increase responsibility of med workers.
25. Gagik Taturyan noticed that motivation must not evoke inequality between physicians.
26. Qristine Khachatryan mentioned that the problem is systemic and the grant is unable to give solution for it.
27. Lilit Khachatryan added that it is dangerous to have dependence on grant for these kind of issues.
28. Gagik Taturyan was interested if how will maintenance service for Gene Expert devices be carried out after grant program and if there is any data of their effectiveness in diagnosing TB.
29. Qristine Khachatryan mentioned that these devices are new in usage and are designed for quick diagnosing.
30. Gagik Taturyan expressed his concern about expensiveness of those devices and difficulty to maintain them after 3 years when grant program is over.
31. Lilit Khachatryan mentioned that during those years government will gradually take these expenses. Besides it is possible to limit the massive usage of them.
32. Hasmik Margaryan mentioned that there is a need of investigations to assess effectiveness of Gene Expert devices.
33. Gagik Taturyan mentioned that according to his knowledge there is no data of that kind of investigations yet.
34. Mariam Avanesova was interested if one can assume psychological workout with the patients in “other expenses” of the grant.
35. Lilit Khachatryan answered that surely yes.
36. Mariam Avanesova asked if consultations by psychologists, trips or other mechanisms of support are foreseen for the TB patients.
37. Lilit Khachatryan clarified that it is possible to organize through involvement of NGOs, moreover those NGOs must be consisted of the people that have passed through whole difficulties regarding the disease.
38. Armida Zakharyan asked to unify principles and approaches of diagnosis and treatment of TB as well as of workings with patients and to include it in grant. That will let avoiding controversial statements for further. She also emphasized the necessity of encouraging the med workers once more.
39. The participants agreed on the need and expressed willingness to actively engage in the CN development process, share ideas through e-mails to the CCM secretariat and have the next meeting.