Pradip ThakaliHERD

Pradip ThakaliHERD

Organization structure

HERD’s involvement with NTP Nepal

Major 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

Working Districts of HERD(Programme – SDA Wise)

SN SDAs Name of the Districts

1 PAL Kathmandu, Lalitpur, Bhaktapur, Sarlahi and Dhanusa (5 Districts)

2 TBHIV Kathmandu,Chitwan, Makwanpur,Parsa, Bara, Sarlahi, Dhanusa and Nuwakot (8 Districts)

3 PPM KTM (KTM &Kritipur), LTP, BKT (BKT &Madhyapur), Chitwan, Parsa, Bara,Sarlahi, Dhanusa, Kavre (Banepa & Dhulikhel) (11 municipalities of 9 districts)

4 ACSM KTM, LTP, BKT, Dhading, Chitwan, Makwanpur, Parsa, Bara, Rautahat, Mahottari, Sarlahi, Dhanusa, Kavre,Sindhupalchock, Dolakha, Ramechap and Nuwakot (17 Districts)

SN SDAs No. of activities

1 HSS/PAL 13

2 TB HIV 32

3 PPM ISTC 28

4 ACSM 35

5 Research 2

Total 110

04/22/23 5

NSA Phase-2 Y- 1 SDA wise Activities

SN SDAs Name of districts

1 PAL, PPM, TBHIV,ACSM KTM, Sarlahi , Dhanusa (3)

2 PAL, PPM, ACSM Lalitpur, Bhaktapur (2)

3 PPM, TBHIV, ACSM Chitwan, Parsa, Bara (3)

4 TBHIV, ACSM Makwanpur, Nuwakot (2)

5 PPM, ACSM Kavre (1)

6 ACSM Sindhupalchock, Dolakha, Ramechhap, Dhading, Rautahat, Mahottari (6)

04/22/23 6

NSA Phase-2 Y 1 SDA wise Districts

SN Name of DistrictsTotal Number of

activities

1 KTM 10

2 Lalitpur 6

3 Bhaktapur 7

4 Chitwan 6

5 Makwanpur 5

6 Parsa 6

7 Bara 7

8 Rautahat 4

9 Mahottari 4

04/22/23 7

NSA Phase-2 Y 1 SDA wise Activities

SN Name of DistrictsTotal Number of

activities

10 Sarlahi 8

11 Dhanusa 8

12 Nuwakot 8

13 Kavre 6

14 Sindhupalchock 3

15 Dolakha 3

16 Ramechap 3

04/22/23 8

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

Around 60 DOTS centers in Kathmandu Valley Urban area

Key publications: training tools and guidelines

Key publications - IEC

Challenges1. Delay in receiving NSA Phase-2 Year-1 activities2. Inadequate activities as compared to total assigned

districts. 3. Printing process of guidelines is lengthy as well as

soft copies are not in place. 4. Delay in PAL logistic supply for implementation5. 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.)

6. Inadequate monitoring and follow up programme especially in newly initiated district.

7. Measuring PPM contribution in TB control in absence of routine recording and reporting

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.

Thank You