159254 Policies and partnerships that created a model TB Control Program in El Salvador

Monday, November 5, 2007: 8:50 AM

Alba Amaya-Burns, MD, MSc, CTM , College of Public Health and Health Professions & Southeastern National TB Center, University of Florida, Gainesville, FL
Julio Garay, MD , National Tuberculosis Program, El Salvador Ministry of Health, San Salvador, El Salvador
Mirtha Del Granado, MD , Communicable Diseases Unit, HDM/CD, Pan American Health Organization / WHO, Washington, DC
Eva Egensteiner, MA, CPH , Health Science Center, C3-025, University of Florida, Gainesville, FL
This presentation outlines policies, partnerships and management that resulted in the creation of an international model TB Control Program in El Salvador. We identify both supportive and challenging variables that enabled El Salvador to develop this successful program and highlight the lessons learned that can benefit other regional countries. Information is compiled from the authors' personal working experience in El Salvador. Data are drawn from a 2000 to 2006 literature review of El Salvador's Minister of Health national health reports, bilateral and multilateral international organizations and NGOs working in El Salvador. We analyze the roles of political will, health reform, the private sector, universities, the prison system and the international partnerships in creating this model. Although El Salvador is a middle to low income country, it is currently implementing all elements of the new 2006-2015 WHO/STOP TB strategy with success, which includes strengthening TB and HIV/AIDS collaborative activities. It has been able to significantly increase TB curative rates in a short period of time, and is among the countries with the lowest percentage of Multi-Drug Resistant-TB. El Salvador has established a foundation for a sustainable National TB Program. Achievements in this TB program can benefit other regional countries in their fight against TB. There is also a need for an integrated regional response to tuberculosis in Latin America and the United States in order to control the impact of increasing mobile populations affecting Central America, Mexico as well as the United States.

Learning Objectives:
1. Apply the lessons learned by El Salvador that will assist regional countries in the development of successful TB programs. 2. Identify components of a regionally coordinated effort to fight TB with Latin American and Caribbean countries, and the United States. 3. Understand the epidemiological impact of mobile populations in the region.

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.