1 / 12

TB/HIV Proposal for FY 2007 PEPFAR Plus Up Funding ETHIOPIA

TB/HIV Proposal for FY 2007 PEPFAR Plus Up Funding ETHIOPIA. Yibeltal Assefa, MD,MSc National HAPCO June 20, 2007 Kigali, Rwanda. Background(1). Population 77 million Diverse ethnic and language differences. Divided into 11 autonomous administrative regions. Background(2). -TB

edna
Download Presentation

TB/HIV Proposal for FY 2007 PEPFAR Plus Up Funding ETHIOPIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TB/HIV Proposal for FY 2007 PEPFAR Plus Up Funding ETHIOPIA Yibeltal Assefa, MD,MSc National HAPCO June 20, 2007 Kigali, Rwanda

  2. Background(1) • Population 77 million • Diverse ethnic and language differences. • Divided into 11 autonomous administrative regions.

  3. Background(2) -TB Ethiopia is among the 22 high burden countries in the world • 8th highest TB burden world wide • Estimated incidence of all forms of TB: 341/100,000 pop • Estimated incidence of sputum smear-positive TB: 152/100,000 pop -HIV • Estimated number of HIV-infected persons: 978,000 • 2.1% prevalence TB/HIV • 41% sero-prevalence in TB patients

  4. Initiatives for the collaboration 2002- 2007 • TB/HIV advisory committee established • Sensitization of policy makers (seminars) • Implementation of TB/HIV initiative in 9 pilot sites • Development of TB/HIV implementation guideline • Revision of the reporting and recording tools • Expansion to more sites >330 health facilities • Development of PIHCT training module • TB/HIV TWG established

  5. Major Financial and Technical Assistance • USG agencies (CDC, DoD, USAID), • WHO, • GLRA, • Global fund • Italian Cooperation

  6. Major program Gaps • Shortage of trained manpower and workload on existing staff • Limited diagnostic capacity to diagnose particularly smear negative TB, and extra pulmonary TB • Weak monitoring and evaluation system • Absence of second line TB drugs and MDR TB management

  7. Major program Gaps • Absence of infection control strategy /system especially health care worker safety • Concerns against INH prophylaxis, due to fear of drug resistance by key decision makers and service providers. • The need for more infrastructures, such as rooms for testing and counselling for HIV

  8. The TB/HIV project GeneralObjective -To strengthen the TB/HIV collaborative activities in Ethiopia by filling the major constraints in the program implementation.

  9. Specific objectives • Improve the diagnosis of TB in HIV positive patients • Strengthen M/E system of TB/HIV activities at different levels • Improve logistic and communications capacity at different level of health system • Reinforce Human Resources constraints at different levels of health care • Improve health workers skills by training on TB/HIV activities, • Address MDR TB diagnosis and management • Establish infection control system

  10. The process of development of the proposal • Immediately afterthe Washington meeting we communicated the recommendations and out come of the meeting to the TB/HIV advisory committee • We then formed the TB/HIV TWG with clear mandates • Based on the amount of money earmarked for TB/HIV from PEPFAR-E, the TWG developed the project • The TWG presented the plan for respective departments for comment and the plan was endorsed for submission

  11. Activities

  12. Activities

More Related