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As Challenge TB is now fully up and running, this website will no longer be updated and the Challenge TB website will now take the focus. To keep up with our latest results, publications, vacancies and news, please visit the new site:

Latest News

Childhood TB Learning Portal Launches

The Union, in collaboration with the World Health Organization, has launched a free interactive online course, Childhood TB for Healthcare Workers. The six-module course is the first offering of the new Childhood TB Learning Portal funded through TB CARE I.

The curriculum covers how to diagnose, treat and prevent childhood TB, including how to perform contact screening. The modules are interactive and ask participants to make decisions about patient care in various settings through case examples.

Challenge TB Project Begins


The coalition of organizations that currently carry out USAID's TB CARE I project and two new partners (PATH and IRD) have begun the initial stages of implementing the new five year project 'Challenge TB'. In the next five years USAID will invest 525 million dollars through this project, to accelerate the global fight against TB.

Challenge TB runs from September 30, 2014 until September 29, 2019 and will align with the WHO post-2015 Global TB Strategy and the new United States Government TB Strategy to enhance focus on improving patient-centered quality TB services, building local capacity and the utilization of innovations and new technologies to move forward in the global fight against TB.

Challenge TB will have three main objectives:
1. Improve patient-centered quality care and services for TB
2. Sustain and enhance systems
3. Transmission and disease prevention.

Renovated Labs and OPD inaugurated in Ethiopia


Addis Ababa, February 18, 2015 – Representatives from the governments of Ethiopia and the United States joined with officials from ALERT and St. Peter’s hospitals today to inaugurate the TB laboratories and an outpatient department renovated under TB CARE I. The renovated laboratories will strengthen and expand Ethiopia’s TB diagnostic services, directly supporting MDR-TB services. Similarly, the outpatient department at ALERT Hospital, strategically situated adjacent to the MDR-TB ward and TB culture laboratory, will improve the MDR-TB outpatient service, creating better access for follow up services during the two-year treatment period. The renovated facilities will increase the capacity of the country to successfully manage drug-resistant TB, which is becoming a major public health threat.

TB CARE I - Year 4 Annual Report

TB CARE I has published it's fourth annual report covering our activities, achievements and success stories from Year 4 of the program.

Strengthening Operations Research in Ethiopia

In Ethiopia, the ministry of health pledged to translate relevant validated operations research (OR) findings into practice. A major challenge to this effort was the limited capacity of TB control programme staff to conduct OR efforts independently. With the support of TB CARE I, practical team-based training was developed to strengthen this capacity. The online journal 'Public Health Action' (The Union's open access journal) covers these extensive efforts in detail in a recent issue.

TB CARE I Health System Strengthening Cases Studies

case studies

The USAID Global Health Bureau's Office of Health Systems recently requested the submission of Health Systems Strengthening (HSS) Cases Studies across the countries where it works. This Global Call for Cases was designed as a platform to share field examples of HSS projects that improved HSS performance and health impact, especially in the areas of Ending Preventable Child and Maternal Deaths (EPCMD) and AIDS-Free Generation (AFG). TB CARE I submitted three cases studies from Afghanistan, Kazakhstan and Indonesia, they are available to download below.

TB CARE I Vietnam Final Review Meeting

ethiopia or

TB CARE I officially closed out in Vietnam on the 16th of December with a final review meeting in Hanoi attended by representatives from all areas of TB control in Vietnam. In his speech, Mr. John Eyres (Deputy director of the USAID Health Office) spoke highly of TB CARE I's achievements over the past four years and committed USAID to further supporting the control of TB and TB/HIV co-infection activities in Vietnam. Additionally TB CARE I prime partner KNCV Tuberculosis Foundation received the Merit Award and Memorial Symbol from Vietnam Union of Friendship Organizations for significant contributions to the socio-economic development of Vietnam in 2014.

Challenge TB Project Kicks Off in Mozambique


KNCV, NTP, FHI 360 and USAID staff after the Challenge TB kick off meeting in Mozambique in December. The project is a continuation from TB CARE I and will continue building on these achievements while focusing more on priority provinces, quality of care provision in MDR-TB, diagnostics and surveillance.

Challenge TB Project Begins in DR Congo


KNCV, NTP, USAID staff after successful negociations for Challenge TB in DRC. The project will support interventions in nine provinces focusing on improving access to quality diagnosis and patient management for any form of TB, M&E and surveillance.

TB CARE I Director Awarded Karel Styblo Prize


TB CARE I director Dr. Maarten van Cleeff was awarded the prestigious Karel Styblo Public Health Prize at the 45th Union Conference in Barcelona on the 29th October 2014. The prize acknowledges a health worker or a community organisation for contributions to tuberculosis control over a period of 10 years or more. This prize is named in honour of Dr Karel Styblo, Director of Scientific Activities at The Union from 1979 to 1991.

From 1981 to 1990 Dr. van Cleeff worked for the National TB and Leprosy Program in Tanzania. During this period, under the guidance of Dr Karel Styblo and in collaboration with colleagues, Dr van Cleeff played a key role in the implementation of a countrywide TB program, using short-course chemotherapy. This programmatic field model based on smear microscopy examination and 8 months of treatment - of which the first 2 months of treatment are directly observed by a primary health care worker - became the model for global TB control in the early 90s, also known as the DOTS strategy.

Community TB Guidelines Launched in Zimbabwe

The first National Guidelines for Community Engagement in TB Prevention and Care were launched on the 17th of October 2014, in Harare. Among the audience were more than 150 participants coming from most provinces of the country, from the Ministry of Health, TB and health managers, nursing students and community workers, NGOs as well representatives of the Penitentiary System, Police and Armed Forces.

The launch was introduced by the NTP Manager Dr Charles Sandy, who stressed the importance of this document to engaging communities in the control of TB. He thanked the KNCV consultant, Dr Netty Kamp, who supported the development of this country owned document under the TB CARE I project financed by USAID. Dr Chiwara, Director Quality Assurance and Guest of Honour emphasized the importance of the document in enhancing early TB case detection and adherence to treatment, and looked forward to a fruitful and beneficial partnership with communities and patients.

TB CARE I's Patient Centered Approach


Patient centered care is an important underlying principle of quality health care systems and interventions.

TB CARE I partners have developed a number of tools to complement existing documents and facilitate the implementation of a patient-centered approach in TB control. These tools have been piloted and the results of these pilots along with detailed descriptions of the tools and their usage are documented in a new TB CARE I publication which if you are interested you can download below.

KNCV awarded USAID flagship Challenge TB project


TB CARE I prime partner KNCV Tuberculosis Foundation will be the prime partner for the United States Agency for International Development (USAID) in their new five year project ‘Challenge TB’. In the next five years USAID will invest 525 million dollars through this project, to accelerate the global fight against TB.

KNCV will head an international consortium with eight leading partner organizations in tuberculosis control. This is USAID’s fourth flagship tuberculosis project since 2000, all implemented by the same coalition led by KNCV. The current USAID project, TB CARE I, covered 17 countries and helped to save the lives of 4 million people.

TB is still a major global problem. Every year 8.6 million people fall ill with TB. One third of them are not properly diagnosed or notified. Also drug-resistant forms of TB are spreading, leading to longer, harsher and more expensive treatments. TB often coincides with HIV and is the number one cause of death among people living with HIV. Because of this, the new Challenge TB project will advance an integrated approach towards HIV/AIDS and TB control. The involvement of local communities will be an important part of the project, which will focus on high TB-burden countries in Africa, Asia and Eastern Europe.

Childhood TB: Training Toolkit

Announcing the release of a training toolkit to combat childhood tuberculosis (TB). The training focuses on building the capacity of health care workers at the primary and secondary level to address and manage TB in children.

The main objectives of the toolkit are to:
1. Increase detection of children with TB in the community
2. Improve the management of children with TB;
3. Increase implementation of child contact screening and preventive therapy;
4. Provide accurate data on childhood TB for better monitoring and evaluation.

The main target audiences for training are the national TB programme and the health workers that manage sick children and/or TB cases of any age in the community or at the more peripheral level of health care – primary health care facilities and district hospitals.

The toolkit consists of ten modules covering a range of topics from epidemiology, diagnosis and treatment to managing childhood TB in the community.

TB CARE I Year 4 Quarter 3 Report

Now Available to Download: Our third quarterly report of the fourth year of TB CARE I. The report provides a technical update on progress made between April-June 2014 for TB CARE I core, regional and country projects.

Costing Tools

The estimation and projection of costs are essential for the planning, budgeting, financing and evaluation of TB services. To assist with this, TB CARE I has developed a suite of four costing tools that donors and governments can use to model costs and analyze cost-effectiveness. All the tools are open source and are intended for TB control program planners and managers. The tools were developed and tested in individual countries but can be used by any country. The tools are presented in detail in this 4-page publication.

Understanding and Using TB Data

Introducing the new WHO handbook on 'Understanding and Using TB Data'. This handbook shows how to use various data sources, presents existing tools to analyse the quality of data and describes methods to estimate the burden of TB and related trends. It is aimed at national TB programme managers, monitoring and evaluation officers, researchers including epidemiologists and statisticians, and staff working with technical, financial and development agencies.

TB/AIDS Community Mourns Losses

joep lange

We are devastated to learn that Joep Lange, member of the KNCV Board of Trustees, world renowned AIDS/HIV scientist, inspiring and dedicated friend, was on board Malaysian Airlines flight MH17. Joep was on his way to the International AIDS Conference in Melbourne where he would also represent KNCV in several meetings. There are no words to express our sorrow. Joep has been of invaluable significance to KNCV and our mission. We will miss his guidance tremendously and mourn a very dear friend. Our deepest thoughts go out to his loved ones.

Several other colleagues and friends were also aboard flight MH 17, among them our colleague Glenn Thomas from the Department of Communications of the World Health Organization, who was heading to the same conference.

We have no choice other than to continue our work in the field of TB and HIV/AIDS without them and carry on in their spirit. We will not forget them. We wish strength to all of you, who also may have lost loved ones, colleagues and/or friends,

Kitty van Weezenbeek, Executive Director, KNCV

Maarten van Cleeff Director TB CARE I



Ezra Shimeles, the TB CARE I Country Director in Ethiopia, has left KNCV and TB CARE I to pursue a position at Global Fund in Geneva. He has served as the TB CAP and TB CARE I Country Director and KNCV Country Representative for Ethiopia since July 2008.

He has been very successful in establishing good relationships with all major partners including USAI, all TBCTA partners and the National TB Control Program, contributing to a rapidly increasing attention (and related funding) for TB by USAID and recognition of TBCAP/TB CARE I by the Government officials and institutions in Ethiopia.

We will miss Ezra’s leadership and experience and wish him all the best and success in his new position at Global Fund.Dr Getachew Wondimagegn has taken up the challenging role and responsibilities of TB CARE I Country Director and KNCV Representative in Ethiopia.

Rhehab Chimzizi, the TB CARE I Country Director in Ghana, has left to pursue an MDR-TB/GFATM advisory position in Zambia. He has served as the TB CAP and TB CARE I Country Director for Ghana since March 2008 and has made significant contributions towards advancing Ghana’s TB control efforts. His achievements include the coordination and development of the five-year Health Sector Tuberculosis Strategic Plan (2009-2013), the development of the successful Global Fund Round 10 proposal, and the first ever M&E plan for the Health Sector. He was instrumental in developing national MDR-TB guidelines, MDR-TB training curricula, standard operating procedures (SOPs) for TB case detection and TB Infection Control, and guidelines on the diagnosis and treatment of TB in Children.

He is currently the chairperson for the HIV/TB Oversight Committee for Ghana’s Country Coordinating Mechanism (CCM) and was an active member for WHO's African Advisory Committee of Experts on tuberculosis. Rhehab’s technical expertise and outgoing personality will be greatly missed and we wish him all the best in his future endeavors.

Timur Bazikov, TB CARE I Program Director, Central Asia has left KNCV on the 1st of June. Timur joined KNCV as Regional TB CARE I Program Director for CAR in March 2012. Timur has extensive experience administering USAID funded programs in healthcare and education in the US, Russia, South Caucasus, Ukraine and Kazakhstan. His prior experience includes working for American International Health Alliance, PH International and Dutch Interchurch Aid. In 1997-2000, he coordinated the first KNCV project in Kazakhstan focusing on introduction of DOTS and prison reform.

As TB CARE I Program Director for Central Asia, he oversaw the implementation of TB CARE I in Kazakhstan, Tajikistan, Kyrgyzstan and Uzbekistan with the focus on introduction of GeneXpert, expansion of outpatient care, infection control and PMDT. Timur will now be working with The Union in Kyrgyzstan, we will miss his expertise and dedication, but he is leaving behind a well-designed and high quality administrative and managerial setup and excellent staff.

Sad News

This morning we received the devastating news that Dr. Omer Ahmed Omer, our country representative in Namibia, passed away. He died in Windhoek, Namibia yesterday, 15 July 2014, following a short illness. Omer was 50 years old. We remember him as a very friendly, devoted, hardworking and enthusiastic team member. His death is a great loss for all of us within TB CARE I and for his family, colleagues and friends in Namibia.

Childhood TB: How are we helping?

Childhood TB

After decades of being side-lined, the childhood tuberculosis epidemic is now front of stage. TB CARE I has been active in fighting Childhood TB since the start, and we've produced a six-page document which contains an overview of what we are doing to help put a stop to this scourge.

Two new tools from SIAPS

To help patients complete their full course of TB treatment, the United States Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program created a guide for national TB programs (NTP) on minimizing medicine risks. The guide Preventing and Minimizing Risks Associated with Antituberculosis Medicines to Improve Patient Safety offers insights into planning and implementing risk-reduction strategies in the treatment of TB.

Also, ensuring that patients have continuous access to TB treatment requires complex projections and calculations by program staff. These projections are becoming more challenging as new diagnostic tools rapidly increase the number of individuals diagnosed, and thus the quantities of medicines needed. If treatment regimens change, national programs must plan carefully for phasing in and out various medicines in order to manage the risks of stock out. To improve this process SIAPS have developed 'QuanTB' which combines two different methods of quantification, morbidity and consumption, to produce a more accurate estimate of the medicines required.

ISTC Reaches Version 3 and goes Mobile

We are pleased to announce that the third edition of the 'International Standards for Tuberculosis Care (ISTC) has been published.

This is revised version of the standards which describe a widely accepted level of care that all practitioners, public and private, should seek to achieve in managing patients who have, are suspected of having, or are at increased risk of developing TB.

They are intended to promote the effective engagement of all providers in delivering high quality care for patients of all ages, including those with sputum smear-positive and sputum smear-negative pulmonary TB, extrapulmonary TB, TB caused by drug-resistant Mycobacterium tuberculosis complex organisms, and TB combined with HIV infection and other co-morbidities.

For the the third edition of the International Standards for TB Care, a mobile app has been developed that features clinical decision algorithms with step by step guidance for diagnosing and managing TB, along with the full text of the ISTC.

The app is available for free. To download it, go to the website below and enter your email and password. The page will redirect you to download the app, titled "AgileMD"; sign in and wait a few seconds for the app to update.

You are welcome to share the app with anyone who may be interested or find it useful. The more people who get access, the greater the impact of the ISTC.

Nigeria launches the FAST strategy

FAST - Finding (presumptive) TB cases Actively, Separating, and Treating them. The strategy not only reduces the transmission of (drug-resistant) TB in healthcare settings but also will contribute to increased case detection in Nigeria. The strategy is included in the revised national 3 I's guidelines. Representatives of the 12 healthcare facilities, the National and State TB and Leprosy Control programmes of the six States where the strategy will be piloted and implementing partners WHO and KNCV developed a guide on how to implement and monitor the strategy. The guide was field tested in Zaria's TB and Leprosy referral hospital. The national tuberculosis training centre at Zaria will incorporate the FAST strategy and tools in the training program.

Staff Update


Obert Kachuwaire (left) has left his position as the country director of the TB CARE I project in Botswana, we wish him all the best in his new career and thank him for his hard work over the years. He is replaced by Diriba Agegnehu, formally the senior technical advisor from the TB CARE I office in Botswana.

Tushar Kanti Ray (middle) has left the Nigeria office where he served as Country Director, we would like to thank him for his contribution and wish him well in the future. He is replaced by Dr. Gidado Mustapha, who previously worked with the worked National TB and Leprosy Center, in Zaria, Nigeria. We welcome him to the TB CARE I family.

Our project in Kenya came to a close in September 2013, we wish the staff good luck for the future and thank them all for their contribution to our work. Former country director Sara Massaut (right), has returned to the program management unit. She is responsible for the coordination of a core project to develop a model in Nigeria and Zimbabwe to strengthen the use of GeneXpert to increase TB case detection among people living with HIV and is also the technical officer for Universal Access.

At the end of 2013 of Ugandan project closed-out, thank you to all our staff and the director Patrick Nabongo for their hard work and dedication. We wish them all well in the future.

TB CARE I Year 3 Summary Report

We've just published an 8-page summary of our third annual report. This bite-sized version is designed to give you an quick and easy overview of the highlights and achievements of our third year's work.

TB CARE I - Year 3 Annual Report

TB CARE I has published it's third annual report covering our activities, achievements and success stories from Year 3 of the program.

Posters from Paris


TB CARE I had a significant presence at the 2013 Union World Conference on Lung Health in Paris, we supported over 50 poster presentations, these are now available to view and download online. They cover a wide cross section of subjects and countries.

Farewells and Congratulations


TB CARE I Zimbabwe Country Director Barnet Nyathi (middle) is retiring, we are sad to see him go, but thank him for his hard work and dedication over the last 5 years.

We are also proud to announce that two of our country directors Dario Sacur, Mozambique (left) and Jamie Tonsing, Cambodia (right) have been promoted, both will now be FHI 360 Country Representatives in their respective countries.

Dario will no longer work for TB CARE I, so we thank him also for all he has done for both this and the previous TBCAP project, and we wish him success in the future.

Jamie will continue her work for us, we congratulate her and look forward to our continued work together.

TB CARE I @ 44th Union Conference in Paris


TB CARE I's Post-Graduate Course on 'Data for Decision Making' proved to be a great success and was just one part of our presence at the 44th Union Conference in Paris. We also supported 50 poster presentations, 8 oral abstracts and 9 symposia. We had a booth where you could meet our experts and pickup the latest tools and see what we are doing in the countries where we are working. Thanks to everyone for an informative, interesting and productive conference, and also to all those who stopped by and participated in our course. See you next year.

Providing global leadership and support to National TB control efforts


In the first edition of the Global Laboratory Initiative (GLI) TB CARE I Director Dr. Maarten van Cleeff explains how TB CARE I is providing global leadership and support to National TB control efforts, by investing in building laboratory capacity, developing a variety of tools and guidelines, assisting National TB Programs in their efforts to move toward universal access and supporting Xpert MTB/RIF implementation.

GLI Stepwise Process to TB Laboratory Accreditation Updated


A renewed version of the GLI tool has been launched. The GLI tool was developed to assist TB laboratories with the implementation of quality management systems. Thanks to funding through TB CARE I the following improvements have been made:
·Considerable improvement in user-friendliness and lay-out
·The tool has been adapted to the new ISO 15189:2012 quality standard
·More detailed descriptions of steps to be taken for implementing quality management
·A feature has been added enabling users to construct focused laboratory assessment checklists themselves.
All in all the GLI tool has matured considerably, it's a tool that enables TB laboratories to really make a difference.

TB CARE I Activities at the Union Conference in Paris 2013


TB CARE I will have a significant presence at this year's Union World Conference on Lung Health in Paris, we will be supporting over 50 poster presentations, 8 oral abstracts, 9 symposia and 2 post-graduate courses, for details on all these activities and where and when they will be taking place, please download the booklet below. We hope to see you there at the end of October.

Pakistan - Prevalence Survey Report Released


After many years of hard work we are proud to announce the publication of the Pakistan TB Prevalence Survey. This reveals the burden of TB to be 321 per 100,000 population (95% Confidence Interval of 269-373/100,000). This is the second largest survey ever conducted, and not only gives the prevalence but a lot of other information and insight besides, which can help the Pakistan National TB Program in developing its Universal Access strategies. For the full findings please download the full report below.

TB CARE I Post Graduate Course @ The Union Conference in Paris 2013

Union Course

Data for Decision-making and Use of Data for Continuous Improvement

Do you have major programmatic decisions to make, but you don’t know where to start? Come learn how raw data can be translated into useful information for effective decision-making. Through case studies and group exercises, we will examine how technical and financial data can be used and interpreted to make informed decisions. It’s an easy decision to join our course! Don't wait too long as places are running out fast...

TB CARE I Quarterly Report 3 Year 3


We've just released our third quarterly report for the third year of TB CARE I. The report provides a technical update on progress made between April-June 2013 for TB CARE I core, regional and country projects.

Geographic Information System Helps Health Workers Identify Service Needs

gis ethiopia

During the first week of July, TB CARE I teamed up with MEASURE Evaluation and the Royal Tropical Institute (KIT) to train 24 Ethiopian health professionals to use Geographic Information Systems (GIS). In health care settings, GIS allows staff to display facility and contextual data so human resource capacity and service provision gaps can be easily identified. A hands-on approach was used to teach the 24 trainees how to select appropriate indicators, use quantum GIS for displaying data, interpret data, use data for decision-making, and discuss program implications. In the coming months, facilitators will follow up with the participants and provide regular, long-distance support and mentoring to ensure trainees effectively incorporate these new skills into their work.

Uganda Supra-National TB Reference Laboratory Officially Opened

The second Supra-national Laboratory in Africa was officially opened on the 10th of July in Kampala, Uganda. After 6 years of hard work and investment from USAID (through TB CAP/TB CARE I) and CDC, the laboratory received this accreditation from the WHO in April 2013. This is an amazing achievement sees turnaround times decrease from 17 days to 48 hours and more than 50% of results being sent back electronically so the necessary actions can be taken almost immediately. This result was achieved through the hard work and commitment of the SRL Director Prof. Moses Joloba and his laboratory staff and we congratulate them all and wish them every success in the future.

Facing the TB Challenge - TB CARE I in Uganda

uganda movie

The 18 month TB CARE I project in Uganda has come to end. We leave the country with a renovated 'the state of art' MDR-TB isolation ward at Mulago hospital, increased numbers of MDR-TB patients being treated (up to 90 patients in the 3 MDR-TB hospitals of Mulago, Mbarara and Kitgum), the revival of the TB National Coordination Committee as a coordinating channel for TB/HIV collaborative activities in the country and capacity building for TB clinical staff and managers both locally and internationally. At the end of the project a short movie and publication were made to highlight the differences which TB CARE I made, check them out via the links below:

Innovations in Data Quality: An M&E workshop in Nairobi

Kenya me

32 Monitoring and Evaluation Officers from TB CARE I, TB CARE II and IQC partner countries met from June 17th-22nd for a 5-day M&E workshop to tackle the measurement dilemmas posed by:
1. 2013 Revised Case Definitions & reporting forms
2. The roll out of: PMDT Guidelines, 2011 WHO Contact Investigation Guidelines and 2013 WHO Screening Guidelines
3. New STOP TB Targets post-2015.
The workshop was supported by USAID through TBCARE I & II, TB TO 2015 and MEASURE Evaluation. It featured an array of films, debates, role plays, mapping, simulations and calculations of new indicators. This event built upon the success of the 2011 M&E workshop held in The Hague.
The participants now have to take these new skills and incorporate them into their country work plans.

TB CARE I June 2013 Newsletter

news june

We've just released the latest version of the TB CARE I newsletter, which brings you stories from a range of countries and activities, updates on the TB CARE I program and information on new publications and tools.

TIBU: Using Innovative Technology to Improve the Kenya TB Program


TIBU, meaning “to treat” in Swahili is a unique system developed for use by the Division of Leprosy, Tuberculosis and Lung Disease (DLTLD) in Kenya and was launched in November 2012 with support from TB CARE I. It specifically address challenges in data management and ensures the tracking and monitoring of all TB patient data throughout the country. Through three in country companies in combination with DLTLD, USAID and TB CARE I, the partnership of five separate entities has been successful in pulling their expertise together to develop a system that is simplifying health delivery services and providing an equitable platform for tackling TB.

Measuring the Incidence of TB disease in Healthcare Workers

HCW Incidence

We've just published our guide for monitoring the incidence of TB disease among healthcare workers. The guide addresses issues such as stigma and work discrimination, and also provides practical recommendations on how to establish an effective monitoring system. This document is the result of years of operational research as well as debates and discussions organized by the WHO and TB CARE partners.

TB CARE I @ The Union Conference Asia/Pacific in Viet Nam

At the 4th Union Conference in the Asia Pacific region which has just come to a close, TB CARE I held a symposium at the conference to discuss some of program's achievements so far in Viet Nam, Cambodia and Indonesia. Top of the list was the role of the Xpert MTB/RIF in support of PMDT scale-up in the region, the result of which was a shortening of diagnosis time, an increase in the number of patients diagnosed and starting on Category IV treatment and a reduction in the need for culture and DST.

Film: Indonesia Award for TB Work

film indonesia

On March 23rd 2013 USAID presented 'The Champion Award for Exceptional Work in the Fight Against TB' to Indonesia's Ministry of Health to acknowledge its success in significantly reducing the number of TB sufferers in the country. This short film picks up the story.

New MDR-TB Ward - Mulago National Referral Hospital, Uganda


As part of activities to mark the World TB Week in Uganda, Sarah Kataike, the Minister of State for general duties, opened the newly renovated model MDR-TB ward in Mulago National Referral Hospital. In Uganda about 300 MDR-TB patients have been diagnosed since 2008, but only 60 of them are on treatment. This fully equipped ward with a 39 bed capacity was funded by TB CARE I, and it will boost the number of patients being initiated on MDR-TB treatment.

TB CARE I South Sudan Country Director talks about TB on Voice of America


South Sudan Country Director Stephen Macharia talks about the country's TB situation in the run up to World TB Day on the 'Voice of America - Focus on South Sudan' radio programme.

Listen to the interview below:

Reviving Santo: Sudanese Refugee Accesses TB Treatment


After South Sudan gained independence from Sudan in 2011, disagreements over oil-sharing between the two nations caused fighting and high economic inflation in certain regions. Desperate for security, over 110,000 Sudanese refugees escaped to South Sudan and now reside in camps in Maban County. These refugees, and the county’s 40,000 residents, are served by Bounj Hospital, the only TB diagnostic and treatment center in the district. TB CARE I is helping to build the hospital staff’s capacity in TB treatment and infection control, despite the challenges the health workers face. Led by Management Sciences of Health in partnership with the National TB Program, the team has trained over 200 health workers in TB diagnosis and treatment. You can read the full story on the MSH Blog, linked below:

World TB Day 2013


USAID TB Report to Congress Released


Entitled "Accelerating Impact: Expanding Access to Care U.S. Government Report on International Foreign Assistance for TB FY 2011/2012" the new USAID report to Congress on TB highlights key programmatic achievements and collaboration of the different U.S. Government agencies involved in global TB programs. It includes the latest data on key results for USAID-funded TB activities and highlights successful projects in Malawi, Brazil, Afghanistan, and Cambodia, among others.

TB Video Campaign - Dominican Republic

Raymond Pozo

The Dominican Republic is one of the countries in Latin America with the highest rates of TB, with help from TB CARE I and the famous actor/comedian Raymond Pozo, a campaign of public information has been launched to turn this situation around.

19th Conference of The Union Africa Region

19th Conference

The 19th Conference of The Union Africa Region, will be held in Kigali on 20-22 June 2013. Abstracts are now being accepted for research and analysis to be presented at the conference and submissions must be made online before the deadline: 10 April 2013.

TB CARE I Year 2 Highlights

Year 2 Highlights

This is the 2nd edition of the TB CARE I summary report which brings you a snapshot of TB CARE I results two years into the five-year program, it highlights the coalition's successes under all the USAID technical areas.

Videos from TB CARE I in Cambodia

Cambodia Videos

Two new videos highlighting TB CARE I work in Cambodia on the TB CARE Vimeo page. The videos show how TB CARE I is using mobile technology to deliver test results more quickly to patients, how we are educating Kampong Cham on how to minimize the spread of TB, and how Yim Chann triumphed in his fight against MDR-TB. Click the link below to see them and all of our other videos.

Lessons from Loss

Lessons from Loss

Announcing the latest TB CARE I tool, 'Lessons from Loss'. This tool is designed to collect information on factors leading to mortality among TB patients in order to help health professionals, planners, managers working in TB programs, and TB advocates to save TB patients’ lives by improving care seeking and the quality of care. The tool offers step by step guidance on how to pinpoint where the problems lie and to build consensus toward feasible solutions.

Gold Awards for TB CARE I workers in Nigeria


The State TBL Programme Officers Forum of Nigeria designed annual awards to honor persons who have made an immense contribution to the development of TB and Leprosy Control in the country. TB CARE I workers in Nigeria, Dr. Gidado Mustapha and Dr. Emmy van der Grinten (Former Nigeria Country Director and now Regional Coordinator TB CARE I - TB in the mines) received the 2012 National STBLCO Forum Golden Award for their valuable contributions. The awards were presented at the 2012 State TB and Leprosy Programme Managers Review Meeting which in Ilorin, Kwara State, on November 28th and 29th 2012. Dr. Gidado Mustapha is pictured receiving both awards.

TB CARE I Annual Report Year 2

TB CARE I has published it's second annual report covering our activities, achievements and success stories from Year 2 of the program.

Building the Capacity of Civil Society Organizations

We've just published the latest TB CARE I tool, entitled 'Building the Capacity of Civil Society Organizations in TB Control - An Approach'. Designed to develop the capacity of civil society organizations in TB Control, this package includes the approach, the training materials, the monitoring and evaluation framework, and the results.

TB CARE I - Indonesia

TB CARE I through partner Management Sciences for Health is helping the National TB Program by providing support in costing, insurance and budgeting to further strengthen the Ministry of Health’s financial sustainability strategy.

WHO Releases 2012 Global TB Report

The World Health Organization (WHO) Global Tuberculosis Report 2012 has been published. The report provides the latest information and analysis about the TB epidemic and progress in TB care and control at global, regional and country levels. It is based primarily on data reported by WHO’s Member States in annual rounds of global TB data collection. In 2012, 182 Member States and a total of 204 countries and territories that collectively have more than 99% of the world’s TB cases reported data.

TB CARE I Workshop in Kuala Lumpur


As part of the 43rd Union World Conference on Lung Health in Kuala Lumpur, Malaysia the program management unit of TB CARE I held a workshop named 'Linking Outcomes to Finances'. In this workshop participants learnt how to understand the key components of performance-based management, including performance planning, monitoring and feedback systems as well as being equipped with innovative approaches and tools to link technical outcomes with financial performance in their tuberculosis control programs. Over 30 people participated and the feedback was overwhelmingly positive, with several requests for more such workshops in the future.

TB CARE I September 2012 Newsletter

If you are interested in the latest developments from TB CARE I, we have just released the third edition of our newsletter which contains: program highlights, success stories, introductions to new staff members and projects, and lists our latest publications.

Guidelines to Measure the Prevalence of TB among Healthcare Workers

New Publication: It has been proven that in many settings the burden of TB is higher among healthcare workers (HCWs) than amongst the general population. It is very important to prevent the transmission of TB in facilities, thereby preventing TB among HCWs. This guide has been developed to help and guide the monitoring of active TB disease incidence among HCWs through routine surveillance.

South East Asian Regional Workshop on Xpert MTB/RIF


TB CARE I organized a South East Asian Regional Workshop on Xpert MTB/RIF from 4-6 September 2012 in Jakarta, Indonesia. Participants included 43 representatives from national programs, clinics and laboratories from Indonesia, Vietnam, Cambodia, Burma/Myanmar, the Philippines and Nigeria, as well as national and regional technical partners and supra-national laboratories. During the workshop, the latest recommendations and evidence on the Xpert MTB/RIF test were presented by international facilitators from WHO, CDC, USAID and KNCV. Through discussions and group exercises, the six countries developed a national action plan to ensure continued quality of routine use and sustainable scale-up of Xpert MTB/RIF in the coming years. TB CARE I will closely follow up with these countries to support the realization of their plans.

Patient Centered Approach - Cambodia

PCA Cambodia

As part of the 'Patient Centered Approach' project, Cambodia chose two tools to implement, of which one is QUOTE TB Light. QUOTE is the acronym for Quality of Care as seen through the Eyes of the Patient, which is an important element of improving care to better meet their needs, increase equity and improve access to services for diagnosis and treatment. The picture shows a focus group discussion being held with patients using the pictogram cards from the package, to measure the importance of the nine quality dimensions: Communication and Information, Professional competence, Availability of TB services, Affordability, Patient provider interaction and counseling, Support, TB/HIV Relationship, Infrastructure and Stigma.

GeneXpert Workshop - Mombasa

GeneXpert Mombasa

TB CARE I held a GeneXpert Workshop from the 21st-25th May 2012 in Mombasa Kenya. The 5-day workshop was attended by representatives from National Reference Laboratories, National TB Program representatives from Botswana, Djibouti, Ethiopia, Kenya, Mozambique, Zambia and Zimbabwe as well as technical partners and Supra-national Laboratory staff. During the workshop, international recommendations for GeneXpert implementation and use as well as the latest evidence on Xpert MTB/Rif were presented by international facilitators.

TB CARE I - Report on World TB Day Events 2012

Just Released: A short publication on the activities, celebrations and events TB CARE I was involved with for World TB Day 2012. Take a look at the innovative ways each country used, to keep TB education, detection and treatment at the top of the agenda.

New PPM Guide

TB CARE I has published a new guide to Public Private Mix in TB Control, this document describes the initial efforts to be developed by the NTP on PPM and explains each of the essential steps toward forming a strong alliance with potential partners for active involvement in TB control.

Ghana Stop TB Video

Bice Osei Kuffour aka Obour - Musician and Ghana TB Ambassador has written a TB Song which aims to educate the people of Ghana on TB prevention and control, remind people to seek early treatment since TB is curable and that treatment is FREE, and dispel the misconception that TB is a curse but a disease which can be cured.

New Stop TB Department Newsletter

The first edition of the WHO Stop TB Department quarterly newsletter - Stop TB e-focus is now available. Its purpose is to provide information and updates on the WHO’s efforts to advance universal access to TB prevention, care and control. It highlights key WHO products and publications, web news and meetings.

Pakistan TB Prevalence Survey Preliminary Results

The prevalence survey of Pulmonary TB in Pakistan 2010-11 confirms that there are 295 cases of TB per 100,000 of the adult population over the age of 15 years. These preliminary findings allow for more informed decision-making by removing the reliance on obsolete data derived from estimations and should enhance Pakistan's ability to combat the disease more effectively. The TB CARE I Deputy Director for Technical Services, Dr Jeroen van Gorkom said, "The work has just begun. As we count the number of TB patients detected in Pakistan each year, we know that many layers of the population still do not have access to required facilities for registration, diagnosis and treatment."

World TB Day 24th March 2012

TB CARE I celebrated World TB Day in several provinces of Afghanistan on the 24/3/12 with various events which were covered by the media. The picture shows the interview of a TB smear positive patient under treatment for the past 1.5 months in one of the remote urban facilities in Kabul city recently opened DOTS services with the support of TB CARE I.

USAID Report to Congress

Tuberculosis (TB), an ancient disease, has plagued mankind for millennia. TB is activated when an individual’s immune system is weakened by any number of causal factors: old age, malnutrition, pregnancy, HIV, and other factors, such as diabetes. It is estimated that more than one-third of the population in the developing world who are exposed to these conditions are infected with the disease. However, TB is curable with treatment, which means this terrible disease can be stopped. Join the World TB Day celebrations and strive to stop TB in our lifetime.

Voices of TB

To coincide with the annual World TB Day, USAID has published a two page brochure which tells some of the powerful stories of former TB patients from around the world whose lives have been impacted by this debilitating disease.

Tuberculosis – We Can Beat this Global Killer

A briefing and update on tuberculosis, a disease which is curable but still takes the lives of 4,000 people each day and is the number one killer of people living with HIV. Special areas of focus of the briefing include US global leadership on TB, how communities are addressing the crisis, the threat of drug-resistant TB, and progress towards an effective vaccine, better medications and faster diagnostics.

New TB Infection Control resource page on CDC website

The Centers for Disease Control (CDC) Division of Global HIV/AIDS (DGHA) has launched a TB infection control (TB-IC) resource page. The materials published there are based on the WHO Policy on TB Infection Control in Health-Care Facilities, Congregate Settings and Households (2009) and emphasize basic, simple activities that can be performed at the facility level to begin implementation of TB infection control. A 15-minute training video is available in English and French and is designed to address pre- and in-service training needs. All the materials are available for download.

Vietnam Receives First GeneXpert Machines

On February 6th, 2012 TB CARE I collaborated with Vietnam National TB Program (NTP) to organize a ceremony to commemorate the delivery of the first 2 Xpert MTB/RIF diagnostic systems out of 17 machines which will be provided under the TB CARE I Project. The ceremony which took place at the National Lung Hospital, was attended by representatives of USAID (including the Country Director Mr. Francis Donovan), KNCV, WHO, MSH, FIND, CDC and representatives of the TB CARE I's local partners including the NTP and Central 74 Hospital. Two media articles on the event are linked to below (both in Vietnamese):

Operations Research Course - Cambodia

TB CARE I recently held an Operations Research course in Cambodia, a collaboration between KNCV, FHI 360 and WHO, with support from CDC. The course focused on developing new research on the following topics:

  • • Improving Screening in Childhood TB
  • • Low case detection among MDR suspects
  • • A randomized control trial to improve the referral of risk groups in PPM and C-DOTS
  • • Barriers to TB diagnosis among the Elderly – A Case-Control Study using Prevalence Survey data

Photovoices - Dominican Republic

Photovoices is a project in the Dominican Republic which aims to uncover the the human face of TB. Using photography and accompanying text, TB patients express their feelings and experiences, whilst driving both education and discussion on the subject of Tuberculosis. Selected photos can be seen in the form of a slideshow, which is available in English and Spanish.

TB CARE I Dominican Republic Director Wins Award

TB CARE I country director in the Dominican Republic Dr. Luis Alberto Rodríguez Reyes, M.D. has been awarded the ‘Premio Nacional de la Juventud Santo Domingo 2012’ (National Youth Award Santo Domingo 2012) in the category ‘Most Outstanding Contribution to Health' this prestigious prize was awarded on the ‘Día Nacional de la Juventud’ (National Youth Day). TB CARE I is very proud that Dr Luis Alberto is part of our team and we wish him all the best. We are confident that his contribution and that of the TB CARE I team will help in the fight against TB in the Dominican Republic. For more information on the award (in Spanish) click here.

Website for Step-wise approach to TB Lab Accreditation

The Global Laboratory Initiative (GLI) has developed a Stepwise Process towards TB Laboratory Accreditation to assist national level tuberculosis diagnostic laboratories implement a Quality Management System which meets international standards. This guide translates the requirements of the ISO 15189 international standard into step-by-step activities, structures them in an interactive roadmap and provides many user-modifiable support materials such as document templates, software and information.

Surviving XDR-TB Twice

What happens if you get extensively drug-resistant tuberculosis twice? Here is one woman's story, click the link below.

World TB Day 2015

Theme: Reach the 3 Million:
Reach, Treat, Cure Everyone

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