Partners in implementing TBCAP

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Partners in implementing TBCAP

• Catherine Mundy
• On behalf of Maarten van Cleeff
• TBCAP
• Annecy 9/5/08

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What is TB CAP?

• Tuberculosis Control Assistance Program 2005-
  2010
• A USAID mechanism to support TB control
• Provides technical assistance to NTPs in selected
  USAID priority countries
• TB CAP is implemented by TBCTA partners

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TBCTA partners
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TBCAPs Strategic Framework
Global Health Bureau SO Increased use of
effective interventions to reduce the threat of
infectious diseases of major public health
importance
Activity Objective Decreased morbidity and
mortality by increasing case detection and
treatment success of smear positive pulmonary TB
patients in USAID priority countries
IR 3 Increased public and private participatio
n
IR 1 Increased Political Commitment
IR 2 Strengthened and Expanded DOTS
IR 4 Increased and strengthened TB and
HIV/AIDS coordination
IR 5 Improved human and institutional capacity
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TB CAP is output oriented
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TBCAP uses 5 funding sources

• Core Direct from USAID Washington
• projects with a global character
• Regional From USAID Regional Bureaus
• Projects with a regional character
• Mission From USAID Country Missions
• PEPFAR for TB/HIV activities in the countries
• US Government to give TA to Global Fund projects

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TB CAP management structure

• Lead organization KNCV Tuberculosis Foundation
• Hosts Project Management Unit (PMU)
• Has sub-agreements with other partners

USAID
KNCV
PMU
MSH
ATS
The Union
WHO
CDC
JATA
KNCV
FHI
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TB CAP Countries (May 2008)
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TB CAP tools and guidelines for better TB control

• ISTC
• Handbook for Using the ISTC
• Training modules for continuing education using
  the ISTC
• Guidelines on accurate and faster diagnosis of
  ss(-) patients
• The QUOTE tool
• Planning and budgeting tool
• The Nurses TB Competencies Guide
• X-ray supervisory checklists and accompanying
  guidelines
• TB Laboratory Standard Operating Procedures
  (SOPs)
• Laboratory Management Information System (MIS)
• MOST for TB

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Tools addressing Lab services

• Improved diagnostic capacity
• SOP for smear, culture and sensitivity testing  
• EQA training materials
• Guidelines for purchasing laboratory products
• Development of MIS tools for TB laboratories
• Improved laboratory capacity
• Regional Supranational Reference laboratory
  (Uganda and Tanzania)
• Strengthened laboratory network for MDR TB in
  Vietnam
• Lab strengthening in all TBCAP country plans
• Training of 40 lab consultants

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Future projects (2008)

• Improved diagnostic capacity
• Support to functioning of the GLI
• Implementation of developed tools
• Updated culture and DST training materials (i.e.
  molecular testing) and development of bio-safety
  training package.
• Bio-safety manual
• A strategic framework for countries to improve
  and scale up laboratory services.

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Future projects

• Improved laboratory capacity
• Continue support to Supranational Reference
  laboratory Uganda and Tanzania
• Continue support to MDR lab services Vietnam
• Training lab staff Asian region
• Training lab consultants

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• Performance indicators in 10 TB CAP Countries
  related to diagnostic capacity

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Average population per laboratory performing TB
microscopy
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Percent of laboratories performing TB microscopy
with over 95 correct microscopy results
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TB CAP countries providing TB culture and
sensitivity services meeting international
quality standards
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Status of National MDR TB Policy
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TB CAP Countries conducting MDR TB surveys or
having MDR TB surveillance systems
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TB CAP Countries meeting MDR TB quality standards
defined by TB CAP