1. Overview of strategy for FY 14 Myanmar

2. CAP-TB: Goal To reduce the incidence and mortality from MDR TB in Myanmar In partnership with National Tuberculosis Programme

3. CAP-TB Strategy for FY14 Evaluate implementation to date (FY12-FY13) Identify successful strategies to continue and potentially scale up Review current literature for recent evidence on potential innovations, etc., that can be piloted through the project

4. CAP-TB: Strategic Model

5. Continue community outreach activities in project sites Provide DOTs to TB patients IR1: Strengthened MDR-TB prevention Output 1.1 Mobilized communities to advocate for and use TB services

6. IR1: Strengthened MDR-TB prevention Output 1.2 Scaled-up implementation of TB infection control in health facilities Higher level advocacy needed Shelters?? N95 Masks for health staff

7. IR2: Strengthened MDR-TB Management TA for BSL3 Lab in 2 sites Training Lab Tech for Gene Xpert Refresher and follow up training on PMDT Satellite site for MDRTB patient follow up – HR capacity support Continue Patient support

8. IR3: Improved strategic information for MDR-TB IR4: Strengthened enabling environment for MDR-TB Drug resistance pattern on – Cat I failure, Cat II failure, New Case Support – Childhood TB mission: Prof. Stephen Graham 11-21 Aug, 2013 – TA for Xpert introduction and lab. scale up plan – Dr. Pierre-Yves Norval and team (27-8-2013 to 7-9-2013) MDR-TB database

9. CAP-TB: Partners in Myanmar Continue with patient treatment support Identify risk groups for piloting innovative methods to improve case detection/treatment success – Childhood TB – PLHIV, geographic areas (border and remote) with high treatment interruption/default rates, etc. Organizational Capacity Development

10. CAP-TB Partners 1.Myanmar Medical Association (MMA) Follow up trained general practitioners (GPs) on standard treatment of TB and diagnosis of MDR-TB and infection control in the 18 townships Continue DOTS to MDR-TB patients, manage minor adverse events, and refer cases to medical facilities using community supporters

11. CAP-TB Partners 2. Pyi Gyi Khin (PGK) Continue Community outreach, case finding, referral for TB/MDR-TB patients and home base care contacts investigation, infection control and MDR-TB patients support in current 4 townships and expansion of 2 townships in Yangon Shwe Pyi Thar North Okkalapa Shwe Pyi Thar North Okkalapa

12. CAP-TB Partners 3. Myanmar Health Assistant Association (MHAA) Continue implementing the same activities as PGK in Mandalay 7 townships and expansion of 2 townships in Yangon Insein Hlaing Thar Yar Insein Hlaing Thar Yar

13. CAP-TB Partners 4. Myanmar Business Coalition on AID (MBCA) Continue community outreach, case finding and referral for TB/MDR-TB patients in Monywa Industrial zone and expand to to downtown businesses. Provide DOT and patient support to TB/MDR-TB patients in Monywa and Chaung Oo