USAID/Mexico Tuberculosis Program

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USAID/Mexico Tuberculosis Program

• LAC PHN SOTA, March 2001

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Tuberculosis
PAHO Health in the Americas, 1998
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TB Cases in LAC Presence Countries
PAHO Health in the Americas, 1998
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Infectious Diseases - Funding Compared to Need
LAC TB Cases compared to 2000-2001 TB funding
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USAID/MexicoTuberculosis Strategy

• SO A sustainable and effective institutional
  capacity developed to diagnose, control and
  monitor tuberculosis in target areas
• IR1 Improved national and local political and
  administrative commitment to a tuberculosis
  control program
• IR2 Increased use of laboratory-based diagnosis
  to identify tuberculosis cases
• IR3 Improved directly observed therapy meeting
  strict case definitions
• IR4 Improved mechanisms for monitoring program
  activities

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Staffing andOther Support

• USAID/Mexico 1 full time USPSC, 1/2 FSN
  administrative assistant
• SSA 1 Tech. Project Coordinator, 1 Admin.
  Project Coord., 6 supervisors
• USAID/W LAC and Global Bureau technical backup,
  future global projects
• USAID/ES Technical, administrative, and legal
  support

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USAID/Mexico Tuberculosis Strategy Partners

• Official Counterparts Secretaría de Salud and
  USAID
• Mexico partners CVE, Mexico National TB Prev.
  and Control Program (including IMSS,
  IMSS-Solidaridad, and ISSSTE), INDRE, State
  Secretarías de Salud, NGOs
• US partners TATB, CDC, NGOs, Gorgas Institute,
  State Health Departments
• Other donors PAHO, Comité Nacional de Lucha
  contra la Tuberculosis

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DIEZ CONTRA LA TUBERCULOSIS TEN AGAINST TB
California, Arizona, New Mexico, Texas
Baja California, Sonora, Chihuahua, Coahuila,
Nuevo León and Tamaulipas
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Common Objectives
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Tuberculosis Strategic Objective Grant Agreement

• Signed August 21, 2000 by Mexicos Secretary of
  Health and the US Ambassador to Mexico
• Stipulates planned contribution of US and Mexican
  Governments through 2004
• Obligates first tranche of funding (3.7 million)
• Outlines program objectives, activities,
  performance indicators, and standard provisions

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Priority Areas
Baja California, Sonora, Chihuahua, Coahuila,
Nuevo León and Tamaulipas
Chiapas, Jalisco, Veracruz, Michoacán, Guerrero,
Oaxaca and San Luis Potosí
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Phase I Activities 1) Development of
educational campaign 2) Promotion of
interinstitutional collaboration 3)
Strengthening laboratory network 4) Operations
research eval. of program operation
sensitization of personnel and public detection,
diagnosis and treatment specimen handling
studies of cases, contacts and deaths
information systems. 5) Development of National
Tuberculosis Management Information System and
Evaluation of Border Epidemiological surveillance
systems 6) Management and operation of Program
at national level 7) Supervision and impact
evaluation
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Tuberculosis Program in the 13 Priority States
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U.S.-Mexico Binational Tuberculosis Card

• 43 of TB cases in the US are among the
  foreign-born (7553/ 17,531) and among the
  foreign-born, 23 of the cases are among the
  Mexican-born (1753/7553)
• The U.S. Border States lead the nation in cases
  and incidence of TB
• The six Mexican border states have TB case rates
  much higher than the U.S. border states

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U.S.-Mexico Binational Tuberculosis Card

• Collaboration between Mexico and the United
  States
• Ten Against TB
• TB Net
• Cure TB
• The Binational Juntos Project
• Migrant Health Core Group
• USAID TB Program

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