Title
Unified TB Control Policy EO No. 187
Law
Executive Order No. 187
Decision Date
Mar 21, 2003
Executive Order No. 187 establishes a Comprehensive and Unified Policy for Tuberculosis Control in the Philippines, adopting the DOTS strategy and promoting collaboration between government agencies and private sector organizations to address the significant public health problem of tuberculosis in the country.

Advancements in the National TB Program (NTP)

  • The Department of Health's NTP has improved the quality and reach of TB control measures.
  • There has been a concerted effort to enhance TB management nationwide.

Collaboration and Policy Development

  • The Department of Health partnered with the Philippine Coalition Against Tuberculosis (PhilCAT) and other government and private sectors.
  • A "Comprehensive and Unified Policy for TB Control" was developed to harmonize efforts.

Core Components of the TB Control Policy

  • The policy adopts the DOTS (Directly Observed Treatment, Short-course) strategy based on five key elements.
  • Direct sputum smear examination is mandated as the initial diagnostic tool for case identification.
  • Standardized chemotherapy must follow the guidelines set by the NTP.
  • Recording and reporting of TB cases shall adhere to standardized protocols under the NTP across all health centers.
  • Directly Observed Treatment (DOT) ensures patients comply with their medication regimens.
  • Political commitment is emphasized to guarantee sustained and comprehensive implementation.

Ratification and Endorsement

  • Policy was ratified on March 7, 2003, at the First Philippine Tuberculosis Summit Conference.
  • Key stakeholders and organization heads endorsed the unified TB control policy.

Government Agencies Directed to Implement the Policy

  • The President instructed multiple government agencies to enforce the policy, including:
    • Department of Health
    • Department of Education
    • Department of Interior and Local Government
    • Department of National Defense
    • Department of Justice - Bureau of Corrections
    • Department of Social Welfare and Development
    • Department of Agriculture
    • Department of Agrarian Reform
    • Department of Science and Technology
    • Philippine Health Insurance Corporation
    • Department of Labor and Employment
    • Overseas Workers Welfare Administration
    • National Economic and Development Authority
    • National Commission on Indigenous Peoples
    • Government Service Insurance System
    • Social Security System
    • Employees Compensation Commission

Engagement of Private Sector Organizations

  • The Order enjoins private organizations to collaborate in policy dissemination and training, including:
    • Philippine Coalition Against Tuberculosis (52 members)
    • Philippine Medical Association
    • Trade Union Congress of the Philippines
    • Employers Confederation of the Philippines
    • Association of Health Maintenance Organizations of the Philippines

Mandate for Training and Dissemination

  • The policy directs immediate dissemination and training activities on TB control.
  • Collaboration between government and private sectors is essential for effective implementation.

Overall Objective

  • To institute a comprehensive, unified TB control policy in the Philippines.
  • To harmonize efforts across government and private sectors for better TB management.
  • To ensure sustainability, standardization, and compliance in TB diagnosis and treatment nationwide.

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