Transcript HERD and TB

Pradip Thakali
HERD
Organization structure
HERD’s involvement with NTP Nepal
Major Service Delivery Area:
1. PPM/ISTC/Patient Charter:
2. TB/HIV
3. ACSM
4.Practical Approach to Lung Health (PAL)
5. Research / Operational Research
6. Technical support : especially programme guideline, training
material development and conduction of central level meeting of NTC
Working Districts of HERD
(Programme – SDA Wise)
SN SDAs
Name of the Districts
1
PAL
Kathmandu, Lalitpur, Bhaktapur, Sarlahi and Dhanusa
(5 Districts)
2
TBHIV
Kathmandu,Chitwan, Makwanpur,Parsa, Bara, Sarlahi,
Dhanusa and Nuwakot (8 Districts)
3
PPM
KTM (KTM &Kritipur), LTP, BKT (BKT &Madhyapur),
Chitwan, Parsa, Bara,Sarlahi, Dhanusa, Kavre (Banepa
& Dhulikhel) (11 municipalities of 9 districts)
4
ACSM
KTM, LTP, BKT, Dhading, Chitwan, Makwanpur, Parsa,
Bara, Rautahat, Mahottari, Sarlahi, Dhanusa,
Kavre,Sindhupalchock, Dolakha, Ramechap and
Nuwakot (17 Districts)
NSA Phase-2 Y- 1 SDA wise Activities
SN
SDAs
No. of activities
1
HSS/PAL
13
2
TB HIV
32
3
PPM ISTC
28
4
ACSM
35
5
Research
2
Total
4/8/2015
110
5
NSA Phase-2 Y 1 SDA wise Districts
SN
SDAs
Name of districts
1
PAL, PPM, TBHIV,ACSM
KTM, Sarlahi , Dhanusa (3)
2
PAL, PPM, ACSM
Lalitpur, Bhaktapur (2)
3
PPM, TBHIV, ACSM
Chitwan, Parsa, Bara (3)
4
TBHIV, ACSM
Makwanpur, Nuwakot (2)
5
PPM, ACSM
Kavre (1)
6
ACSM
4/8/2015
Sindhupalchock, Dolakha,
Ramechhap, Dhading, Rautahat,
Mahottari (6)
6
NSA Phase-2 Y 1 SDA wise Activities
SN
Name of Districts
Total Number of
activities
1
KTM
10
2
Lalitpur
6
3
Bhaktapur
7
4
Chitwan
6
5
Makwanpur
5
6
Parsa
6
7
Bara
7
8
Rautahat
4
9
Mahottari
4
4/8/2015
7
Cont………NSA Phase-2 Y 1 SDA wise Activities
SN
Name of Districts
Total Number of activities
10
Sarlahi
8
11
Dhanusa
8
12
Nuwakot
8
13
Kavre
6
14
Sindhupalchock
3
15
Dolakha
3
16
Ramechap
3
4/8/2015
8
Around 60 DOTS centers in Kathmandu Valley Urban area
Key publications: training tools and guidelines
Key publications - IEC
Challenges
1. Delay in receiving NSA Phase-2 Year-1 activities
2. Inadequate activities as compared to total assigned
districts.
3. Printing process of guidelines is lengthy as well as
soft copies are not in place.
4. Delay in PAL logistic supply for implementation
5. Lacking supply of forms and formats to the
concerned DOTS and VCT centres to run TB HIV
collaborative programme (e.g. cross referral form,
Register etc.)
6. Inadequate monitoring and follow up programme
especially in newly initiated district.
7. Measuring PPM contribution in TB control in absence
of routine recording and reporting
Success Story
• The collaboration with VCT centre of
GENETUP ; to carry out intensified HIV case
finding amongst TB patients. As a result of
this activity, 10 (7 Male 3 Female,1.1%))
TB patients out of 883 were HIV screening
positive. This result shows that there are
presence of TB HIV co infection; the
patients those who are under DOTS. The
free screening saved TB patients time,
money as well as they have been aware on
their disease status.
Thank You