Project Title: USAID Uhuru - Tuberculosis and Family Planning Facility Solution Local Organizations Network (LON) Activity
Project Description: Tanzania is among the 30 high burdened countries for TB and TB/HIV and is part of the USAID global accelerated plan to end TB. In the National TB prevalence survey, TB was estimated at 295 per 100,000 population. The Tanzania Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) THROUGH ITS National Tuberculosis and Leprosy Program (NTLP) to increase TB case detection i.e, treatment coverage from current 44% to 72% by 2020. Specifically, NTLP... Tanzania is among the 30 high burdened countries for TB and TB/HIV and is part of the USAID global accelerated plan to end TB. In the National TB prevalence survey, TB was estimated at 295 per 100,000 population. The Tanzania Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) THROUGH ITS National Tuberculosis and Leprosy Program (NTLP) to increase TB case detection i.e, treatment coverage from current 44% to 72% by 2020. Specifically, NTLP aims to; increase the percentage of childhood TB cases notified (10.6% TO 15%), increase Drug Resistant (DR) TB cases detected and treated (17% to 84%) among those notified and increasing case notification rate is mining areas through strengthening routine case notifications and addressing vulnerable groups. It is estimated that 60% of the TB burden is not diagnosed. TB/HIV co-infection remains high at 40% and TB remains the leading cause of deaths among PLHIV. Case finding and detection is a big challenge at the primary health care level due to inappropriate management, poor documentation, and challenge in sputum collection. Many populations at increased risk of TB i.e refugee camps, prisoners, miners those living with diabetes mellitus, moderately to severely malnourished and those living in boarding schools, slums are unaware of this increased risk. In the community, active TB case finding, and contact tracing is minimally limited to only a few districts in 20 regions, stigma is high, with an unfortunate gender disparity in detection and access to TB service leaving women not accessing TB services. Current strategies largely rely on patients making their way passively into the health system for diagnosis. Programmatic Management for Drug-Resistant TB (PMDT) is rolled out in Tanzania to 81 HFs and has; led to increasing in the detection of DR-TB. This increase in DR detection has overstretched the health system which already had a shortage of human resources for health (HRH); yet the NTLP aims to scale up DR TB centers from the current 88 to 169 district hospitals and hospitals. Goal: Tanzania Health Promotion Support (THPS) and its Consortium member, Ifakara Health Institute (IHI), MKUTA, and Baylor College of Medicine Children’s Foundation Tanzania propose to improve access to, and use of quality TB and Family Planning service for better health outcomes for Tanzanian citizens in the target regions. We envision to achieve this through innovative approaches: a) Screening: Using CRP as a point of care (POC) triage test for TB diagnosis compared to WHO TB symptom screening at community and primary private facility settings and b) Diagnosis: Video instructions for sputum collection on sputum quality and diagnostic yield at facility settings, “A” & “B” embedded as implantation research c) Linkages to treatment: through communities interventions that address gender-equitable services, stigma and discrimination towards people with TB and d) Strengthen and scale up DR TB diagnostic and treatment capacity
Principal Investigator : Honorati Masanja
Department Name :
Time frame: (2020-10-20) - (2025-06-30)
Tanzania Health Promotion Support (THPS) (Normal)
External Collaborating Partners
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