Overview of strategy for FY 14 Myanmar. CAP-TB: Goal To reduce the incidence and mortality from MDR TB in Myanmar In partnership with National Tuberculosis.

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Presentation transcript:

Overview of strategy for FY 14 Myanmar

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

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

CAP-TB: Strategic Model

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

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

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

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 Aug, 2013 – TA for Xpert introduction and lab. scale up plan – Dr. Pierre-Yves Norval and team ( to ) MDR-TB database

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

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

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

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

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