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Niger TB Grant

Niger TB Grant. Original proposal prepared for round 10 Required funding : 30 mln for TB + 11 mln HSS (not specified USD or EURO) 2 PRs (for treatment and for NGO/ Community ) CRS confirmed as PR 2 for NGO / Community. Role of PR in Treatment.

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Niger TB Grant

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  1. Niger TB Grant • Original proposalprepared for round 10 • Requiredfunding: 30 mln for TB + 11 mln HSS (not specified USD or EURO) • 2 PRs (for treatment and for NGO/Community) • CRS confirmed as PR 2 for NGO / Community

  2. Role of PR in Treatment • Workthroughsubrecipients and National TB Programme • Providewithsufficientmedicaments and laboratoryequipment • Capacity Building / training of labtechnicians and doctors • Workcloselywith PR 2 (CRS) • Key Beneficiaries: decentarlised TB services / TB clinics, general population, but key focus on women and children (see page 49/73)

  3. Key Interventions: • Management and Implementationincludingcoommunication and BCC – workcloselywith CRS • System Strengthening(management and supply system) – workwith pharma system • Monitoring / evaluation /research: design of data gatheringtools, develop M&E plan – IFRC & Stop TB

  4. Key interventions ( cont) • CapacityBuidling / Training: HR capacitydevelopment and learning: training of team members in management, adminitration, finance, m&E (Stop TB Partnership & IFRC) • CapacityBuidling of financial and managemenhtcapacity of SR’s

  5. Pharma and otherhealthproducts • Policy / Planning /systems in place • Insurance / Quality control • Management and coordination • Product selection • Management of info system • Storage / stock management • Distribution to otherfacilities • Ensure rational use • Pharamcovigilnace • Drug Resistance surveillance

  6. Key data on Nyger • TB rates: around 174 per 100000 population (2009) • Accepted and implemented WHO recommended DOTS strategy • Detectionincreased from2005 to 2009 significantly • Drug Resistance TB is a concern (Damien Foundationisimplementing pilot projects)

  7. Niger, key data • New National Plan developed (2011/2015) (youcanseedetails on page 4/73) • Strategygivespriority to decentralised local centres (670 DOTS and 167 CDTs) and decentralised patients support • To increasecapacity and quality of services and NGOs • Betteraddress TB/HIV • MDR support • Sufficuentsupply in medication, reagents and consumables • Address TB amongchildren

  8. Target population (in 2010 proposal) • 10281 smear + cases • 616 retreatment cases • 1592 new smear – cases • 1215 extra pulmonary cases • MDR TB (estimatedaround 2.2% among new cases and 10% amongretreatment cases) • This application does not includewidely to cover MDR and needs to berevisited

  9. Current Contrains • Central level management: material, financial • LowCase detection • Diagnosis (labequipment, lack of trained and paid staff) • Patients support (CRS) • Community participation emprwerement (CRS) • Coordination with HIV programmes • OperationalResearch

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