Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives:
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Using Xpert to Reach the Unreached: Mobile Diagnostics Case Finding in Nepal May 2013 – December 2015. Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives: - PowerPoint PPT Presentation
Transcript of Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives:
• Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally
• Objectives: – To identify over 2 years an additional cases of MTB+
(3136) among slum, PLHA, prisoners, factory workers, refugees, household contacts of people living with TB and diabetics in Kathmandu Valley.
– Ensure rapid diagnosis and treatment of all TB and MDR cases
– To continually monitor and reflect on case finding and referral strategies
• Project Target Areas and Districts: 22 districts and 29 municipalities&cities (Kathmandu, Lalitpur, Bhaktapur, Kavre, Chitwan, Makwanpur, Parsa, Bara, Rautahat, Sarlahi, Mahottari, Dhanusha, Kaski, Rupandehi, Kapilbastu, Dang, Banke, Bardiya, Kailali, Accham, Doti and Kanchanpur)
TB REACH Projects in Nepal
Major Activities by Target Population:
– Urban Slum: Door to Door Screening, Mobilization of urban health volunteers (UHV), Urban slum health camp, continual case finding activities
– PLHA: Strong communication and coordination with VCT and ARV centres, distribution of TB/HIV IEC materials, Screening of PLHAs
– Household Contacts: Identifying and recording and follow up of household contacts and screening and sputum collection
– Prisoners: Screening and sputum collection
– Factory Workers: Screening and sputum collection
– Refugees, Monks and Nuns: Screening and sputum collection
– Diabetics (In Kathmandu Valley Only): Coordination and communication with diabetic clinics, screening patients for symptoms and referring patients for microscopy
StrategiesMobilization of 34 outreach workers and 91
volunteersCoordination with local health institutionsCoordination with respective target groups
and populationsMobilization of vanConduction of microscopic campsCase finding and referral strategies
Screening Updates (Mangsir to Falgun, 2070)Target Screen
ingSymptomatic
s
Microscopic Tests
Microscopy
Positive
Total Gene Xpert Tests
GX+ve cases
Total Bacteriologic
al Positiv
e
Slum 27,910 1,466 1,177 19 604 18 37
PLHIV 263 113 113 0 90 14 14
HH Contacts
746 263 255 14 44 6 20
Prisoners
312 189 185 2 70 1 3
Factory Workers
3,125 419 361 0 283 3 3
Refugees/Monasteries
1,272 349 329 1 191 3 4
Diabetics
0 0 0 0 0 0 0
TOTAL 33,628 2,799 2,420 36 1,282 45 81
Gene xpert result (Mangsir to Falgun, 2070)SN
Expert Center
MTB
ND
MTB+/
RIF”S”
MTB + / RIF “R”
MTB +/
RIF “I”
ERROR
INVALID
NO RESULT
TOTAL
1 DHO Doti 53 18 2 0 9 2 2 86
2 DPHO Chitwan
35 24 3 0 18 1 0 81
3 Van One 439 19 4 0 28 21 0 511
4 Van Two 404 14 1 1 67 12 0 499
5 HERD Thapathali
21 1 0 0 6 2 0 30
6 Manohara 75 2 0 0 11 0 1 89
Total 1027
78 10 1 139 38 3 1296
Gene xpert result (Mangsir to Falgun, 2070)
TB Reach Project in Nepal
Summary sheet of MTB cartridges Use and Demand- to be monthly updated by all TBREACH partners operating Xpert technology
SN Xpert site
A) No.cartridges in stock at start of period
No. cartridges received during the period
No.cartridges used Remaining cartridges
(D - H)
Exp. date
B) from HQs
C) from other units
D) Total (A+B +C)
E) Used F) Expired G) Transfer out
H) Total (E+F+G)
1DHO Doti 200 120 0 320 130 0 0 130 19006.07.2014
2DPHO Chitwan 120 120 0 240 95 0 0 95 145 ,,
3Manohara CHC 60 40 0 100 90 0 0 90 10 ,,
4Van One 180 360 0 540 519 0 0 519 21
5Van Two 180 420 0 600 529 0 0 529 71
6HERD Lab 0 40 0 40 30 0 0 30 10
Balance of cartridges at HERD sites 740 1100 0 1840 1393 0 0 1393 447
Balance of cartridges at HERD store 3200 1020
World TB Day 2014
World TB Day 2014
