Madulara, M. A. D. (2017). Promoting the DOTS strategy through implementation of the national, tuberculosis control program in Quezon, Bukidnon (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.

Graduate School of Public and Development Management Health Systems and Development Batch 7 Thesis (MPM-HSD)--Development Academy of the Philippines.

Tuberculosis has been a threat and burden to public health. Philippines ranked ninth among the twenty two high burden countries all over the world that account for 80% of the TB burden, an initially started effort by the World Health Organization was adopted by the Department of Health. The National Tuberculosis Control Program (NTP) was created to develop TB control policies, standards and guidelines, formulate the national strategic plan, monitor and evaluate the program. The Philippine Plan of Action to Control TB (PHILPACT) issued by the DOH as the roadmap to controlling TB has used detection rate (CDR) and treatment success Rate (TSR) of TB as programmatic indicators. A target of 90% for CDR of all forms and 90% for TSR all forms as indicators for a successful TB control in the Philippines. A five year study period showed in the implementation of NTP in the municipality of Quezon, Bukidnon showed low CDR and TSR. Basically, this study aims to determine the contributory factors that affect the implementation of the National Tuberculosis Control Program leading to its poor performance. This Action Plan and Project is a descriptive study qualitative and quantitative data as the expected output. The socio demographic profile survey of the respondents showed males (62.5%), aged over 50 (27.5%), those of elementary education (32.5%) and of below economic status. The gaps and barriers were identified through and key Informant Interview and Focus Group Discussion, such as the presence of stigma, IP cultural views, financial constraints, distance issues and lack of education. The gaps and challenges identified as to the building blocks of the health systems showed the passive implementation of NTP in the municipality. The identified gaps and barriers were then provided with strategic interventions the presence of stigma was intervened through reactivation of the Municipal Multi-stakeholders TB Council, barangay TB Management Council and organization of TB social mobilization team cultural views of the IPs were intervened through a meeting among the IP mandatory representatives; financial constraints of the patients were intervened through provision of financial assistance, such as the Barya mo SAGOT sa TB project, a Special assistance Given to Ongoing Treatment of TB patients; distance issues intervened through establishment of a DOTS satellite center and the lack of education was intervened through the information, education campaign of the organized social mobilization team.