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Enhancing Tuberculosis Control: HERD's Strategic Interventions in Nepal

Explore HERD's involvement with National Tuberculosis Program in Nepal, focusing on service delivery, ACSM, PAL, research, and technical support. Challenges and success stories are highlighted.

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Enhancing Tuberculosis Control: HERD's Strategic Interventions in Nepal

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  1. PradipThakali HERD

  2. Organization structure

  3. HERD’s involvement with NTP NepalMajor Service Delivery Area:1. PPM/ISTC/Patient Charter: 2. TB/HIV 3. ACSM4.Practical Approach to Lung Health (PAL)5. Research / Operational Research6. Technical support : especially programme guideline, training material development and conduction of central level meeting of NTC

  4. Working Districts of HERD(Programme – SDA Wise)

  5. NSA Phase-2 Y- 1 SDA wise Activities

  6. NSA Phase-2 Y 1 SDA wise Districts

  7. NSA Phase-2 Y 1 SDA wise Activities

  8. Cont………NSA Phase-2 Y 1 SDA wise Activities

  9. Around 60 DOTS centers in Kathmandu Valley Urban area

  10. Key publications: training tools and guidelines

  11. Key publications - IEC

  12. Challenges Delay in receivingNSA Phase-2 Year-1 activities Inadequate activities as compared to total assigned districts. Printing process of guidelines is lengthy as well as soft copies are not in place. Delay in PAL logistic supply for implementation 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.) Inadequate monitoring and follow up programme especially in newly initiated district. Measuring PPM contribution in TB control in absence of routine recording and reporting

  13. 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.

  14. Thank You

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