Overview of strategy for FY 14

Myanmar

CAP-TB: Goal

• To reduce the incidence and mortality from MDR TB in Myanmar

• In partnership with National Tuberculosis Programme

CAP-TB Strategy for FY14

• Evaluate implementation to date (FY12-FY13)

• Identify successful strategies to continue and potentially scale up

• Review current literature for recent evidence on potential innovations, etc., that can be piloted through the project

CAP-TB: Strategic Model

• Continue community outreach activities in project sites

• Provide DOTs to TB patients

IR1: Strengthened MDR-TB prevention Output 1.1 Mobilized communities to advocate for and use TB services

IR1: Strengthened MDR-TB prevention Output 1.2 Scaled-up implementation of TB infection control in health facilities

• Higher level advocacy needed• Shelters??

• N95 Masks for health staff

IR2: Strengthened MDR-TB Management

• TA for BSL3 Lab in 2 sites

• Training Lab Tech for Gene Xpert

• Refresher and follow up training on PMDT

• Satellite site for MDRTB patient follow up

– HR capacity support

• Continue Patient support

IR3: Improved strategic information for MDR-TBIR4: Strengthened enabling environment for MDR-TB

• Drug resistance pattern on– Cat I failure, Cat II failure, New Case

• Support – Childhood TB mission: Prof. Stephen Graham 11-21

Aug, 2013– TA for Xpert introduction and lab. scale up plan – Dr.

Pierre-Yves Norval and team (27-8-2013 to 7-9-2013)• MDR-TB database

CAP-TB: Partners in Myanmar

• Continue with patient treatment support

• Identify risk groups for piloting innovative methods to improve case detection/treatment success– Childhood TB– PLHIV, geographic areas (border and remote) with

high treatment interruption/default rates, etc.

• Organizational Capacity Development

CAP-TB Partners

1. Myanmar Medical Association (MMA)

• Follow up trained general practitioners (GPs) on standard

treatment of TB and diagnosis of MDR-TB and infection

control in the 18 townships

• Continue DOTS to MDR-TB patients, manage minor adverse

events, and refer cases to medical facilities using community

supporters

CAP-TB Partners

2. Pyi Gyi Khin (PGK)Continue Community outreach,

• case finding,

• referral for TB/MDR-TB patients and

• home base care

• contacts investigation,

• infection control and

• MDR-TB patients support

in current 4 townships and expansion of 2 townships in Yangon

• Shwe Pyi Thar

• North Okkalapa

CAP-TB Partners

3. Myanmar Health Assistant Association (MHAA)

Continue implementing the same activities as PGK in Mandalay 7

townships and expansion of 2 townships in Yangon

• Insein

• Hlaing Thar Yar

CAP-TB Partners

4. Myanmar Business Coalition on AID (MBCA)

Continue community outreach, case finding and referral for

TB/MDR-TB patients in Monywa Industrial zone and expand

to downtown businesses .Provide DOT and patient

support to TB/MDR-TB

patients in Monywa and

Chaung Oo