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| Reference: | 4966 |
| Country: | Bangladesh |
| Multiple country event: | No |
| Region: | SEARO |
| City: | Dhaka |
| Start date: | 18 February 2013 |
| End date: | 27 February 2013 |
| Estimated duration: | |
| Status: | Completed - Complété |
| | (The mission has taken place) |
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| Title: | strengthen and expand TB DOTS, Programmatic Management of Drug Resistant TB (PMDT) programs, and health systems |
| Type: | Mission |
| Terms of Reference: | Tuberculosis (TB) remains a major public health problem in Bangladesh. The country ranks sixth among 22 highest burden TB countries in the world. It is estimated that about 64,000 people die every year due to TB. In 2011, 159,023 TB cases were notified to Nation Tuberculosis Control Program (NTP), and the estimated incidence is 225/100,000 population. Case detection rate of all forms of TB is low, with estimates at 46%. Broad estimates indicate that the proportion of TB in Bangladesh that is diagnosed in children is 3.5%, suggesting that childhood TB is severely under-diagnosed. MDR TB is an emerging threat in Bangladesh. According to results of a recent Drug Resistance Survey, MDR-TB rate among all newly diagnosed cases is estimated at 1.4%, and among previously treated cases at 29%.
To help address the TB epidemic in countries such as Bangladesh, the United States Agency for International Development (USAID) developed the TB CARE II Project, a five-year cooperative agreement implemented by a wide consortium of health and development organizations and led by University Research Co., LCC (URC) since 2010. The project facilitates implementation of strategies to strengthen and expand TB DOTS, Programmatic Management of Drug Resistant TB (PMDT) programs, and health systems. Aligned with NTP strategic objectives and USAID/Dhaka strategic framework, the TB CARE II partnership’s activities complement the Global Fund and Government of Bangladesh efforts to strengthen all the components of Stop TB Strategy with a major emphasis on universal and early access to TB services, PMDT, and health systems strengthening.
Because a majority of patients in Bangladesh seek healthcare from private practitioners, there has been growing realization of the importance of developing a public-private mix (PPM) to more effectively respond to the TB epidemic. PPM activities have been undertaken by a number of different non-governmental organizations (NGOs), of which there are 48 in Bangladesh doing TB work. However, these activities are not well-coordinated, and it is unclear if the NTP strategy is a productive one.
This TDY was arranged by the USAID-Bangladesh Mission to investigate the current PPM activities in Bangladesh, to identify gaps, and to develop a scope of work (SOW) for the PPM planning that will be undertaken by PATH.
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| Training Opportunity: | No |
| Website: | |
| Purpose 1: | MDR-TB / XDR-TB |
| Purpose 2: | |
| Purpose 3: | |
| Other purpose: | |
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| Entered by: | Center for Disease Control and Prevention (CDC) |
| Partner 1: | |
| Partner 2: | |
| Partner 3: | |
| Contact name: | Sean Cavanaugh |
| Contact email: | hgl7@cdc.gov |
| Other agencies: | |
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| Funding needs: | No |
| Funding source: | |
| Other funding source: | |
| Available funding: | $ 0 |
| Funding gap: | $ 0 |
| Global Fund reference: | |
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| Comments: | |
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There are no experts (roster) associated with this event. There are no experts (non-roster) associated with this event.
Date Created: 6 March 2013
Entered By: CDC
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