Strengthening Tuberculosis Prevention and Control Program in the Framework of Health System Reform in Tajikistan

What is the Programme about?

This TB project has been consolidated with Rounds 6 for 5 years and provided to the Republic of Tajikistan by the Global Fund to Fight AIDS, Tuberculosis and Malaria in continuation of the first phase of the project “Expanding and Strengthening DOTS in Tajikistan and addressing new challenges in TB control in line with the WHO recommended “Stop TB Strategy” implemented since 1 August 2007. The key activities of the projects are focused on providing support to the implementation of the objectives of the National TB Control Strategy including strengthening implementation of DOTS program in the country, addressing new challenges and approaches such as MDR-TB, TB/HIV, TB in Prison, PAL and PPM.

The overall goal of the project is to reduce the burden of TB in Republic of Tajikistan by 2015 in line with the Millennium Development Goals and Stop TB Partnership targets aiming at strengthening TB prevention and control programme in the framework of health system reform. Related to MDG four impacts/ outcome indicators will be used to measure the effectiveness of the project: case detection rate to reach 70% of all estimated TB cases by the end of the programme; treatment success rate to reach more than 85%; a decrease in the incidence rate of TB cases to 60/100,000 of the population by the end of the programme; a decrease in the mortality rate 7 per 100,000. The project focuses on implementation of 7 objectives: (1) Ensure high quality DOTS expansion and enhancement actions; (2) Address TB/HIV, MDR and other challenges of the National TB Program; (3) Practical approach to lung diseases; (4) Engage all care providers to NTP; (5) Empower people with TB and communities; (6) Operation researches; and (7) Health system strengthening.

Accomplishments so far

  • All TB patients have universal access to TB treatment, annually 7,000 to 8,000 (100%) registered in the country including in the penitentiary sector receive treatment with first line TB drugs
  • The country successfully introduced MDR-TB (DOTS Plus) project and by now 1,300 enrolled for MDR treatment with second line TB drugs
  • More than 2,000 health providers trained in various aspects of TB including DOTS, MDR-TB, TB/HIV, PAL and other trainings
  • Over 90% of all TB cases are tested on HIV annually
  • Over 100 TB centers and laboratories were established and rehabilitated as well as new 4 TB Hospitals including TB Prison Hospital constructed;
  • Network of microscopy and bacteriology laboratories established including supply of equipment, reagents and consumables;
  • New Level 3 Bio-Safety Laboratory is constructed in Dushanbe allowing detection of communicable and most hazardous diseases including HIV, TB and Malaria
  • Community based projects with involvement of civil society organization introduced for awareness raising activities as well as treatment adherence as support in providing DOT for TB and MDR-TB outpatients

Who finances it?



Global Fund to Fight AIDS, Tuberculosis and Malaria

Delivery in previous fiscal year

Delivery: USD 2,952,689.93

Overview
Status:
Ongoing
Programme start date:
1 October 2009
Programme end date:
30 September 2013
Geographic coverage:
national
UN Transitional Joint Vision Programme Cluster:
Cluster 6: Health and Nutrition
MDGs:
MDG 6
Partners:
Republican TB Control Center, Republican TB Clinic Hospital, Department of Penitentiary under ministry of Justice, World Health Organization, World Food program, local CBOs
Donor:
The Global Fund with fight with HIV/AIDS, TB and Malaria
Budget:
EUR 22,277,837.36 (5 years), Phase I – EUR 13,604,876.78; Phase II – EUR 8,672,960.58
Focal Points
Zumrad Maksumova,

Project Manager

zumrad.maksumova@undp.org

Zebo Jalilova,

Responsible Programme Analyst,
zebo.jalilova@undp.org

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