completed· Health

To reduce the TB incidence by 20% by the year 2021 compared to 2015 and increase case notifications by a cumulative total of 20,000 from July 2016 to July 2021, compared to the year 2015 - Nepal (16-Mar-2018-15-Mar-2021)

Nepal, Tuberculosis, Save the Children Federation, Inc. (STC HQ)This program has the following goals: To reduce the TB incidence by 20% by the year 2021 compared to 2015 and increase case notifications by a cumulative total of 20,000 from July 2016 to July 2021, compared to the year 2015. The objectives of this program are: Increase case notification through improved health facility-based diagnosis; increase diagnosis among children (from 6% at baseline, to 10% of total cases by 2021); examination of household contacts and expanded diagnosis among vulnerable groups within the health service, such as PLHIV (from 179 cases at baseline to over 1,100 cases in 2020/21), and those with diabetes mellitus (DM).. Maintain the treatment success rate at 90% patients (all forms of TB) through to 2021. Provide DR diagnostic services for 50% of persons with presumptive DR TB by 2018 and 100% by 2021; successfully treat at least 75 % of the diagnosed DR patients. Further expand case finding by engaging providers for TB care from the public sector (beyond MoH), medical colleges, NGO sector, and private sector through results based financing (PPM) schemes, with formal engagements (signed MoUs) to notify TB cases. Strengthen community systems for management, advocacy, support and rights for TB patients in order to create an enabling environment to detect & manage TB cases in 60% of all districts by 2018 and 100% by 2021. Contribute to health system strengthening through HR management and capacity development, financial management, infrastructure, procurement and supply management in TB. Develop a comprehensive TB Surveillance, Monitoring and Evaluation system. To develop a plan for continuation of NTP services in the event of natural disaster or public health emergency