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Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives: – To identify over 2 years an additional cases of MTB+ (3136)

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Presentation on theme: "Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives: – To identify over 2 years an additional cases of MTB+ (3136)"— Presentation transcript:

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3 Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives: – To identify over 2 years an additional cases of MTB+ (3136) among slum, PLHA, prisoners, factory workers, refugees, household contacts of people living with TB and diabetics in Kathmandu Valley. – Ensure rapid diagnosis and treatment of all TB and MDR cases – To continually monitor and reflect on case finding and referral strategies Project Target Areas and Districts: 22 districts and 29 municipalities&cities (Kathmandu, Lalitpur, Bhaktapur, Kavre, Chitwan, Makwanpur, Parsa, Bara, Rautahat, Sarlahi, Mahottari, Dhanusha, Kaski, Rupandehi, Kapilbastu, Dang, Banke, Bardiya, Kailali, Accham, Doti and Kanchanpur)

4 TB REACH Projects in Nepal

5 Major Activities by Target Population: – Urban Slum: Door to Door Screening, Mobilization of urban health volunteers (UHV), Urban slum health camp, continual case finding activities – PLHA: Strong communication and coordination with VCT and ARV centres, distribution of TB/HIV IEC materials, Screening of PLHAs – Household Contacts: Identifying and recording and follow up of household contacts and screening and sputum collection – Prisoners: Screening and sputum collection – Factory Workers: Screening and sputum collection – Refugees, Monks and Nuns: Screening and sputum collection – Diabetics (In Kathmandu Valley Only): Coordination and communication with diabetic clinics, screening patients for symptoms and referring patients for microscopy

6 Strategies Mobilization of 34 outreach workers and 91 volunteers Coordination with local health institutions Coordination with respective target groups and populations Mobilization of van Conduction of microscopic camps Case finding and referral strategies

7 Screening Updates ( Mangsir to Falgun, 2070 ) TargetScreeni ng Sympto matics Microsc opic Tests Microsc opy Positive Total Gene Xpert Tests GX+ve cases Total Bacterio logical Positive Slum27,9101,4661, PLHIV HH Contact s Prisone rs Factory Workers 3, Refugee s/Mona steries 1, Diabeti cs TOTAL33,6282,7992,420361,

8 Gene xpert result ( Mangsir to Falgun, 2070 ) SNSN Expert CenterMTB ND MTB +/RIF ”S” MTB + / RIF “R” MTB +/ RIF “I” ERRO R INVALI D NO RESULT TOTA L 1DHO Doti DPHO Chitwan Van One Van Two HERD Thapathali Manohara Total

9 Gene xpert result ( Mangsir to Falgun, 2070 )

10 TB Reach Project in Nepal Summary sheet of MTB cartridges Use and Demand- to be monthly updated by all TBREACH partners operating Xpert technology SNXpert site A) No.cartridges in stock at start of period No. cartridges received during the period No.cartridges used Remaining cartridges (D - H) Exp. date B) from HQs C) from other units D) Total (A+B +C) E) UsedF) ExpiredG) Transfer out H) Total (E+F+G) 1DHO Doti DPHO Chitwan ,, 3Manohara CHC ,, 4Van One Van Two HERD Lab Balance of cartridges at HERD sites Balance of cartridges at HERD store

11 World TB Day 2014

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