Challenge TB | Lead Partner: KNCV | Country Director: Mavluda Makhmudova
The USAID funded, KNCV led Challenge TB project in Tajikistan focuses on improving the capacity of the healthcare system and quality of care for drug resistant-TB (DR-TB) patients via the introduction of new tools and innovations. The scaling up of new treatment regimens for DR-TB is progressing well and brings hope to those patients with DR-TB. Advanced technologies designed for drug management are now significantly improving patients centered care in Tajikistan.
The main goal of the USAID funded TB Control Program is to advance more effective and more accessible TB diagnosis and treatment for the whole population, including the most vulnerable, to reduce the burden of TB and DR-TB. The foundations are in places for improved diagnosis and treatment of TB and DR-TB.
Seven districts, approximately 27% of the country’s population, have been screened resulting in the detection of 29% of the total cases of TB countrywide. Case detection has almost doubled (from 15% to 29%) due to improvements in accessible diagnosis driven by an effective operational sample transportation system, the introduction of new technologies , improved training for healthcare staff, and more involvement with primary healthcare facilities.
The new drugs and regimens initiative for the treatment of DR-TB has seen more patients enrolled on shorter treatment regimen and on individualized treatment. In 2017, 139 DR-TB patients were enrolled with 75 MDR-TB patients shorter regimens and 64 XDR-patients on individual regimens with bedaquiline. Eight MDR-TB patients successfully completed the shorter regimen and were cured. A successful scale up of OpenMRS database enabled more training programs at entry points as well as the monitoring and technical support of database operations at all sites, either remotely or on-the-job.
KNCV also supports the Ministry of Health in Tajikistan in strengthening the capacity of TB facilities. Improvements in human resource management together with an update of HR policy for TB services promoted better quality of services within the existing resources.
KNCV Tuberculosis Foundation in the Republic of Tajikistan
37/1, Bokhtar Street, Office 604
734025, Dushanbe, Tajikistan