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Overview of strategy for FY 14

This strategy overview focuses on the goal of reducing the incidence and mortality of MDR-TB in Myanmar through partnerships and innovative approaches. It includes evaluating past implementations, identifying successful strategies, and piloting potential innovations. The strategic model involves continuing community outreach, providing DOTS to TB patients, advocacy for shelters and masks, upgrading lab facilities, training lab techs, and supporting patient care. Partnerships with key organizations aim to enhance case detection and treatment success, with a focus on risk groups like PLHIV and geographical areas with high default rates. Organizational capacity development and community support play pivotal roles in this comprehensive TB control approach.

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Overview of strategy for FY 14

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  1. Overview of strategy for FY 14 Myanmar

  2. CAP-TB: Goal • To reduce the incidence and mortality from MDR TB in Myanmar • In partnership with National Tuberculosis Programme

  3. 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

  4. CAP-TB: Strategic Model

  5. Continue community outreach activities in project sites • Provide DOTs to TB patients

  6. Higher level advocacy needed • Shelters?? • N95 Masks for health staff

  7. 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

  8. 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

  9. 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

  10. CAP-TB Partners • Myanmar Medical Association (MMA) • Follow uptrained 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

  11. CAP-TB Partners 2. PyiGyiKhin (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 PyiThar • North Okkalapa

  12. 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 • HlaingThar Yar

  13. 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

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