NATIONAL TUBERCULOSIS PROGRAM

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NATIONAL TUBERCULOSIS PROGRAM ACSM ACTIVITIES
ACSM WORKSHP AMMAN Jordan April 2008
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Ograno-gram of NTP (NORTH SUDAN)
Federal Ministry of Health
Undersecretary
Preventive primary health Care General
Directorate
Manger and officers (FMOH)
Communicable disease Directorate
NTP Central Unit
State Coord St. Lab. Coord St. statist. Coord.
15 State Coordinators
75 Locality Coordinators
300TB Management unit
TBMU/100KP
900 DOTs Centres
3 DOTs/TBMU
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NTP Central Unit
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History of ACSM

• 1994-1997 H.E in the hospital for patients
  awareness.
• 1998 H.E. unit established at CU
• 1999 collaboration between (AUW) (NTP).
• 2000first print for manual of H.E.
• 2001state H. educator in states.
• 2003 establishment of TB Patients Association
• establishment of DOTS Committee.
• establishment of School out reach.
• establishment of University out reach.
• 2004-2006 implementation of ACSM LHL supported
  activities
• 2007 GF round five started

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Objectives of ACSM

• To place TB high on the political and development
  agenda, foster political will, increase financial
  and other resources on a sustainable basis.

• To Increase knowledge among general public about
  TB and TB control services

• To mobilize communities and civil society for
  action to fight stigma and eliminate TB as a
  public health threat

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GF round 5 support to SudanProject milestones

• Proposal title Comprehensiveness and Quality of
  DOTS
• Project cycle January 2006 December 2010
• Total requested funds 16,597,105
• Started implementation on 26th may 2007
• Total year one 2,391,044.30
• Total fund for ACSM activities 427,065

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Summary of Objectives SDA

• Objective 1 Strengthen DOTS and ensure quality
  of care
• 1.1. Human Resources
• 1.1.1. Capacity building Staff Training
• 1.1.2. Educative supervision
• 1.1.3. Maintaining staff
• 1.2. Health infrastructure development
  (strengthening supervision)
• 1.3. Procurement and Supply management system
• 1.4. Monitoring and Evaluation (strengthening
  health information system)
• 1.5. Advocacy increased political commitment to
  DOTS
• 1.6. Operational research

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• Objective 2
• raise awareness and participation of communities
• 2.1. Behavioral change communication - community
  outreach
• 2.1.1. DOTS committees
• 2.1.2. TB Patients Association
• 2.2. Behavioral change communication - Mass media
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• Objective 3  strengthen partnership with other
  health providers
• 3.1. Coordination and partnership development
  (PPM)
•  
• Objective 4  reduce the burden of TB/HIV in TB
  patients and PLWHA
• 4.1. Prevention of HIV in TB patients
• 4.2. Intensified TB case finding in PLWHA

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GF supported activities (GFR5)

• Objective one 1. Strengthening of DOTS
• SDA1.8. Advocacy sensitizing policy makers to TB
• Objective 2 Improved awareness and participation
  of communities in TB care
• SDA2.1. Behavioral change communication
  ,formation of DOTS committee
• SDA 2.2.1. Behavioral change communication
  community outreach TB Patients association
• SDA2.2.2. Behavioral change communication Mass
  media

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Objective one 1. Strengthening of DOTSSDA1.8.
Advocacy sensitizing policy makers to TB
(51,503US)
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Objective 2 Improved awareness and participation
of communities in TB careSDA2.1. Behavioral
change communication ,formation of DOTS
committee (199,945 US)

• National DOTS committee
• One committee/13 members

State DOTS committee 8 committees/10 members
TBMU committee 56committees/3 members
DOT center committee 58 committees/2 members
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Objective 2 Improved awareness and participation
of communities in TB careSDA2.1. Behavioral
change communication ,formation of DOTS committee
(199,945 US)
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Objective 2 Improved awareness and participation
of communities in TB careSDA 2.2.1. Behavioral
change communication community outreach TB
Patients association (61,664 US)
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Objective 2 Improved awareness and participation
of communities in TB careSDA2.2.2. Behavioral
change communication Mass media (113,953 US)
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Other ACSM activities (non-GF funded)

• Universities out-reach (30 universities )
• School out-reach (48 schools )
• IEC materials (TB news paper, stickers, posters
  exhibition)

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Samples of IEC materials used for HE
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TB pamphlet for public
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Calendar and lessons time table with TB messages
for Schools
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Exhibition ( massages for TB patients)
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Formation of N. DOTS committee
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University student network
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I am stopping TB
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WORLD TB DAY 2008 Marathon
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Challenges

• low case detection rate
• high default rate
• Conflict in many areas (Darfur, post conflict in
  South , east, Nuba mountain and blue Nile)
• Rising epidemic of HIV
• High stigmas level

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Best Regards