Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 13256
Country/Region: Ethiopia
Year: 2011
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Ethiopia ranks 7th amongst the 22 high TB burden nations in the World and 3rd in Africa. Specifically, the prevalence and mortality of all forms of TB is estimated to be 579 and 92 per 100,000, respectively. The Federal Ministry of Health's (FMOH's) hospital data revealed that Tuberculosis is the leading cause of morbidity, the second cause of death and the third cause of Hospital admission. GOE has been combating TB since the 1960s via different approaches.

Despite these efforts, TB case detection is less than half of the World Health Organization

(WHO) global target, standing at 34% according to FMOH administration report. Poor

laboratory capacity, low index of suspicion by health workers at Primary Health Care

(PHC) units, drug supply issues, weak TB program management and limited community

access to services are among the reasons for the persistently low case detection

rate (CDR).

At present, USAID is implementing a TB program focusing on early detection/treatment, scale-up for MDR-TB response and several TB/HIV collaborative activities,that due to limited resources could only be done in a limited number of Health Zones. The HEAL TB Performance project represents USAID Ethiopia's most comprehensive TB effort to date.

The General Objective of the project is to significantly improve TB case detection and Treatment Success rate (CDR = 70% and TSR = 85%) in selected geographic areas in order to change regional TB indicators that will impact on national TB indicators.

Specific Objectives include ensuring working with and through RHB, HZs, and District staff to ensure:

100 % DOTS coverage in priority Zones by the end of the project in priority zones

EQA conducted regularly to all TB diagnostic centers in priority Zones by the end of the project in priority zones

No stock out of anti TB Drugs in all DOTS clinics in priority Zones by the end of the project in priority zones

Timeliness and completeness of recording and reporting (Quarterly cohort report) in priority zones

- HEWs to identify, refer and provide CB-DOTS treatment

Identification of retreatment cases/failures and establish system to transport specimens for culture and DST

- MDR TB data base of confirmed cases; placement on MDR-TB treatment

TB/HIV collaborative sites increased through PEPFAR partners

Infection control plans implemented in all DOTS centers in priority Zones by the end of the project

Funding for Care: TB/HIV (HVTB): $0

None

Cross Cutting Budget Categories and Known Amounts Total: $0
Food and Nutrition: Policy, Tools, and Service Delivery $0
Human Resources for Health $0
Key Issues Identified in Mechanism
Tuberculosis