WFP/WHO provide supplementary food to TBpatients Research to investigate on high rates in women TBcases Theestablishmentofamemorandum of understanding with WFP on 24 March 2003, provides TB patients with supplementary food, as part of WFP special program . Food is distributedtoAfghanssufferingfrom TB for thedurationofthetreatment. Anincentiveforpatientstoattendthe clinicregularly tocollectmedicines fromthehandsofhealthworkers. WHO conducted an operational researchtoinvestigate thecauses of markedfemaleprevalencenotifiedin TBcases(65-70)%ofallpatientsare women). Interviews with selected target groups (TB patients,suspects, health workers and private Practitioners) were conducted in kabul,Mazar,HeratandGardez). Preliminaryresultsofthestudywere presented attheInternational Union against TB and Lung Diseases (IUATLD)conferenceinParis endof October2003. Another research will investigatethe magnitudeandqualityofTB care in theprivatefor-profitsector, asthisis oneofthemostcommonproviderof healthcarefortheAfghanpopulation, duetolowPHCservicescoverage. Priority Areas for 2004 ? Developasustainablenetworkof TB control units, based on the DOTSstrategy, withinthegeneral healthservices Provide high quality DOTS to 55%ofthepopulation Develop a network of Community-Based DOTS services to strengthen case- findingandcase-holdinginspite oflowPHCcoverage Promote involvement of the private and the informal health sector in DOTS expansion to improve access tocure Increasethecoordinatingroleof theNTPandabroaderpartnership (local authorities, NGOs, internationalagenciesetc.) Draft national plan for leprosy eliminationandnationalleprosy boardtomonitorcases. ? ? ? ? SecureTBdrugs,consumablesand equipmentfor2005 Work out and implement standard trainingpackageatalllevels ? ? ? Eachyear about70,000Afghans develop some formoftuberculosis. However,itisonlythefewwhohave accesstoPrimaryHealthCarefacilities thatreceiveappropriatetreatment. The death tollofTBisstillveryhigh. WHOestimatesataround20,000the annualnumberofTB-relateddeaths. TheWHOtargetistodetectandputon DOTS(DirectlyObserved Treatment Short Course)70%ofallcasesand successfullytreat85%ofthem. Afghanistancelebrates,liketherestof theworld TBDayasastrategytoraise awarenessincommunitiesby disseminatingeffectiveandculturally appropriatehealth education messages regarding the preventionandtreatment oftuberculosisinAfghanistan.World TBDay2003inAfghanistanwas markedwithan innovativeapproach: postalstampsandaerogramswere producedbytheAfghanPostsandsold overthecounterinpostoffices countrywide. TheWorldHealthorganizationwas instrumentalinsupporting,facilitating andnegociatingthefundingproposal submittedbytheAfghangovernmentto theGlobalFund,aninternational Public-Privatefundingagencybasedin Genevawhichallocatesfinancial resourcestocountriesforthefight againstTuberculosis,AIDSand Malaria. Thefundwillbeutilizedtoraisethe capacityoftheMinistryofHealthin overallmanagementofthefunds receivedandpartlytofinancethe procurementofcommodities,drugsand equipments. TheMinistryofHealthsubmittedtwo proposalsoneofwhichisalready approvedbytheGobalFundandin February2003foratotalamountof around3.12milliondollars.Thesecond fundingapplicationsubmittedinMay 2003(around20million$outofwhich 9millions$fortheimplementationof TBactivities)isnowunderscrutinyand awaitingapproval. AccordingtotheStrategicPlanfor DOTSExpansion,thenumberof patientsforeseenin2004is40,200.An estimateduetotheongoingexpansion process,whichmakesitdifficultto predictthenumberofcasesthatwillbe identified andputontreatmentinthe nextmonths. Aspartofitshumanresources developmentscheme,WHOtrains doctors,nursesandcommunityhealth workersonclinicalmanagementof tuberculosisandonDOTSatregional andcentrallevels.There-openingofthe DarulamanTBCenterinKabul, recentlyrehabilitatedbytheJapanese InternationalCooperationAgency (JICA)hasprovidedtheappropriate settingtotrainAfghancadresas regional/provincialtrainers.Aworkshop aimedatdevelopingaNationalTraining Plan forTBControlisplannedto happenearlynextyearinKabul. WHOsuppliestheNationalTB Programwithqualityanti-TBdrugs, laboratory reagents,binocular microscopes,battery-operated illuminators(powersupplyin Afghanistanisoftenerraticor completelyunavailable),microscopy slidesandsputumcups. Capacity buildingon clinical management of TB and DOTS World TB Day Afghanistan application to Global Fund Curbingtheexpansion of the disease Stop TB
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W F P / W H O p r o v i d esupplementary food toTBpatients
Research to investigateon high rates in womenTBcases
Theestablishmentofamemorandumof understanding with WFP on 24March 2003, provides TB patientswith supplementary food, as part ofWFP special program . Food isdistributedtoAfghanssufferingfromTB for thedurationofthetreatment.Anincentiveforpatientstoattendtheclinicregularly tocollectmedicinesfromthehandsofhealthworkers.
WHO conducted an operationalresearchtoinvestigate thecauses ofmarkedfemaleprevalencenotifiedinTBcases(65-70)%ofallpatientsarewomen). Interviews with selectedtarget groups (TB patients,suspects,hea l th workers and privatePractitioners) were conducted inkabul,Mazar,HeratandGardez).
Preliminaryresultsofthestudywerepresented attheInternational Unionagainst TB and Lung Diseases(IUATLD)conferenceinParis endofOctober2003.
Another research will investigatethemagnitudeandqualityofTB care intheprivatefor-profitsector, asthisisoneofthemostcommonproviderofhealthcarefortheAfghanpopulation,duetolowPHCservicescoverage.
Priority Areas for2004
?DevelopasustainablenetworkofTB control units, based on theDOTSstrategy, withinthegeneralhealthservices
Provide high quality DOTS to55%ofthepopulation
D e v e l o p a n e t w o r k o fCommuni ty -Based DOTSservices to strengthen case-findingandcase-holdinginspiteoflowPHCcoverage
Promote involvement of theprivate and the informal healthsector in DOTS expansion toimprove access tocure
IncreasethecoordinatingroleoftheNTPandabroaderpartnership( local author i t ies , NGOs,internationalagenciesetc.)
Draft national plan for leprosyeliminationandnationalleprosyboardtomonitorcases.
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SecureTBdrugs,consumablesandequipmentfor2005
Work out and implement standardtrainingpackageatalllevels
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Eachyear about70,000Afghans
develop some formoftuberculosis.However,itisonlythefewwhohaveaccesstoPrimaryHealthCarefacilitiesthatreceiveappropriatetreatment.
The death tollofTBisstillveryhigh.WHOestimatesataround20,000theannualnumberofTB-relateddeaths.
TheWHOtargetistodetectandputonDOTS(DirectlyObserved TreatmentShort Course)70%ofallcasesandsuccessfullytreat85%ofthem.
Afghanistancelebrates,liketherestoftheworld TBDayasastrategytoraiseawarenessincommunitiesbydisseminatingeffectiveandculturallyappropriatehealth education messagesregarding the preventionandtreatmentoftuberculosisinAfghanistan.WorldTBDay2003inAfghanistanwasmarkedwithan innovativeapproach:postalstampsandaerogramswereproducedbytheAfghanPostsandsoldoverthecounterinpostofficescountrywide.
TheWorldHealthorganizationwasinstrumentalinsupporting,facilitating
andnegociatingthefundingproposalsubmittedbytheAfghangovernmenttotheGlobalFund,aninternationalPublic-PrivatefundingagencybasedinGenevawhichallocatesfinancialresourcestocountriesforthefightagainstTuberculosis,AIDSandMalaria.
ThefundwillbeutilizedtoraisethecapacityoftheMinistryofHealthinoverallmanagementofthefundsreceivedandpartlytofinancetheprocurementofcommodities,drugsandequipments.
TheMinistryofHealthsubmittedtwoproposalsoneofwhichisalreadyapprovedbytheGobalFundandinFebruary2003foratotalamountofaround3.12milliondollars.ThesecondfundingapplicationsubmittedinMay2003(around20million$outofwhich9millions$fortheimplementationofTBactivities)isnowunderscrutinyandawaitingapproval.
AccordingtotheStrategicPlanforDOTSExpansion,thenumberofpatientsforeseenin2004is40,200.Anestimateduetotheongoingexpansionprocess,whichmakesitdifficulttopredictthenumberofcasesthatwillbeidentified andputontreatmentinthenextmonths.
Aspartofitshumanresourcesdevelopmentscheme,WHOtrainsdoctors,nursesandcommunityhealthworkersonclinicalmanagementoftuberculosisandonDOTSatregionalandcentrallevels.There-openingoftheDarulamanTBCenterinKabul,recentlyrehabilitatedbytheJapaneseInternationalCooperationAgency(JICA)hasprovidedtheappropriatesettingtotrainAfghancadresasregional/provincialtrainers.AworkshopaimedatdevelopingaNationalTrainingPlan forTBControlisplannedtohappenearlynextyearinKabul.
WHOsuppliestheNationalTBProgramwithqualityanti-TBdrugs,laboratory reagents,binocularmicroscopes,battery-operatedilluminators(powersupplyin
Afghanistanisoftenerraticorcompletelyunavailable),microscopyslidesandsputumcups.
Capacity buildingonclinical management of TBand DOTS World TB Day
Afghanistan application toGlobal Fund
C u r b i n g t h e e x p a n s i o n of the diseaseStop TB
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