“Stop TB Fight TB Together Project”

Project Background

The project have been implementing by MHAA with the support of Global Fund from 2011 to present now. In 2011-2012, the GF.TB project was implemented in 3 townships, Mandalay Region. Three townships in Magway Region and one new township in Mandalay Region was extended in 2013. Three townships in Sagaing Region was also extended in 2014. And then five townships in Rakhine State and two new townships in Mandalay Region was also extended in 2015. Now, we are implementing eighteen townships in country wide with UNOPS (PR) by Global Fund because one new township in Sagaing Region has been extended during this year 2016.

Project GOAL and Objectives

GOAL:To reduce the burden of tuberculosis in the eighteen projecttownshipsin Mandalay, Magway, Sagaing Regions and Rakhine State in line with the MDG 6 by contributing towards the national TB control initiatives over five years (2011-2016).

Objectives:To mobilize and empower communities to prevent and reduce the burden of tuberculosis

To promote access to early diagnosis and prompt treatment for Tuberculosis

To sustain and improve the quality of DOTS services to reach all TB patients to improve the treatment success rate among all TB detected patients

Community based Active Case Finding TB Project

  • Recruitment of Community TB Volunteers(CTVs).
  • Mainly Focused on
    • awareness raising by CTVs and Township Community Facilitators
    • detection and referral of Presumptive TB cases for diagnosis by CTVs and further treatment at Township NTP Department.
    • patients care and DOT supported by CTVs
    • TA supports to Presumptive & all Notified TB cases
    • Nutrition & HCP supports to all Notified TB patients

Main Key Activities

  • IEC distribution through CTVs and CFs among the community.
  • Health Education Session done in the community (Wards & villages).
  • Presumptive TB refer by CTVs in weekly
  • Do CXR for Smear(-) presumptive TB in weekly
  • TA supporting to all presumptive TB for Dx and all notified TB for F/U times.
  • Nutrition & Health care packages (HCP) support to all notified TB patients.
  • Home Visit or Door to door patients’ counselling by volunteers and staff.
  • Contact tracing, DOT supervision & DOT supported by volunteers and staff.
  • Fully participation & regular TB cases contribution to NTP of respective THD.
  • Monthly Volunteers’ Meeting with staff & Drawing work plan for the next month.

Background Information

Sr Region/State Township Wards Villages Population No of Trained Vols;
Male Female Total
1 Mandalay Meiktila 13 385 309465 14 13 27
2 Thazi 7 244 202497 15 6 21
3 Mahlaing 15 247 139368 8 9 17
4 Wundwin 6 224 229472 14 7 21
5 Kyaukse 10 249 257545 9 15 24
6 Myithar 6 236 195570 2 18 20
7 Magway Pakokku 15 269 289650 7 23 30
8 Myaing 3 327 225628 8 17 25
9 Seik Phyu 4 138 102655 7 9 16
10 Sagaing Budalin 3 188 146462 5 15 20
11 Pale 2 181 143815 7 10 17
12 Kani 3 187 134253 9 7 16
13 Taze 4 270 164747 6 10 16
14 Rakhine Sittwe 32 98 149348 18 17 35
15 Pauktaw 5 161 145553 14 4 18
16 Myauk U 7 249 189936 12 7 19
17 Minbya 3 246 168963 12 7 19
18 Yathaedaung 4 196 112665 7 7 14
Total 142 4095 3307592 174 201 375

Capture

GF-3

Capture1

Capture2

Capture3

Capture4

Capture5

Capture6

 Capture7

Capture8

 

Remark! (Or) Conclusion

Eighteen townships from four State/Regions are selected not only because of low TB case detection and relatively higher case fatality and defaulter rate but also because of low economic growth and tough terrain leading to increasing number of poor, underserved and hard-to-reach population.

Though TB control activities have been implemented, and diagnosis and anti-TB drugs have been provided for free for years, lower economic development and tough terrains still affect the life of the people there resulting to high burden to TB including from emergence of multi-drug resistant TB to death.

Thus as an action, it was planned to address several issues which hinder the progress of TB control in these selected areas. In these regards, trans-theoretical and logical model of change are applied to achieve project’s overall goal:"to reduce the TB burden among those targeted communities"