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Dr. Sushil KoiralaDirector

TB Nepal, Nepalgunj

TB Nepal : Mission Agaiya TB Center

TB Nepal: Introduction

• Established 2060 (2003 AD)• Worked on TB and HIV.• Managed and run MDR TB

(Multidrug resistant TB) Hostel.• DOTS and Sputum Smear

microscopy • Providing OPD services for TB/

MDR TB, TB-HIV co-infection and Leprosy patients.

• Inpatient services for TB/MDR TB patients

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TB Nepal: Introduction• 26 bed Inpatient service to

TB/MDR TB patients.• 10 beds for leprosy patients

opening soon• 3,000 OPD visits/month on TB

Clinic in average• 170 OPD visits/month on

Leprosy clinic in average• 17,000 sputum smear

microscopy per year.• Referral centre for TB/MDR TB

for Mid-western region of Nepal.

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Mission : Agaiya TB

Center

Multi-purpose centre with specialized services for TB/MDR TB.

75 beds for care and support for MDR/XDR TB patients.

25 beds for TB/MDR TB complication management : Inpatient service.

4 beds for Primary Health Care services.

Isolation ward for any epidemic like Bird flu, swine flu, Ebola

First aid management/ Trauma centre services.

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Proposed TB Centre complex

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Why Mission Agaiya TB Center

• Current MDR TB Hostels supported by Global fund will phase out from mid- July 2015.

• MDR TB Services/ DOTS plus not available in every districts/ health facilities

• Need for care and support home for MDR/XDR TB patients, specially poor, vulnerable and from faraway districts

• Ideal location, building and land already available

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Cost/ Benefit

• Estimated cost: NRs 67,44000 for renovation

• 3 months for renovation and to begin services

• Population to be benefitted by PHC services : 80,000

• Largest TB facility in Nepal• Reduces other administrative, rental

costs of MDR TB Hostels• Helps to solve the problem of MDR

TB Hostels

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- Modern Day sanatorium - Strategic location

- Multi-purpose centre - Good environment - Infra-structure

A little far from Nepalgunj (57km)

- Provide MDR TB services as a centre of Excellence- National TB Centre: positive about this initiative Provide primary healthcare services and trauma management

Sustainability and funding

SWOT

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Thanks