project fact sheet south africa - urc-chs...tasc ii - tuberculosis 2004-2009 urc project...
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Project Fact Sheet | South Africa
What the project was USAID’s commitment to accelerating the implementation of improved basic TB services and MDR TB services in South Africa led in 2004 to the award of the five-year USAID Technical Assistance and Support Project/ Tuberculosis (TASC II TB) to University Research Co., LLC (URC).
Through this project, URC provided assistance to the South African National TB Control Programme (NTCP) and other stakeholders to strengthen local capacity to detect, treat, and prevent TB as well as further integrate TB treatment with HIV and other health care services and develop community-based strategies to ensure patients seek out and adhere to treatment.
Rather than comprising a vertical framework, the project was designed to encourage overlap and collaboration around a broader goal of improved treatment for TB and TB/HIV. Interventions aimed to:
¡ Improve the quality of TB services
¡ Increase availability of TB treatment
¡ Increase demand for TB services
¡ Improve management of TB support systems
¡ Introduce and scale up innovative approaches for expanding DOTS
How we workedThrough TASC II TB’s strong relationships with the NTCP, provincial and district health authorities, the targeted facilities and their surrounding communities, the project was able to accomplish an array of activities ranging from development of national policies and guidelines for infection control, TB/HIV, MDR/XDR TB, and advocacy, communication, and social mobilization.
Through an ongoing process of training and direct mentorship to introduce new technical capabilities to support TB control, the project helped link health service providers to community groups and non-traditional partners such as private sector business to build an integrated network of TB and TB/HIV treatment and care services stretching from the community, district, and provincial levels. Through collaborative engagement, the project reinforces district and provincial HIV and health systems strengthening objectives.
TASC II - Tuberculosis2004-2009
URC Project Coordinator, clinic staff, and community health workers in Eastern Cape
Where we workedIn addition to activities at the national level, the TASC II TB project provided support in five provinces: Limpopo, North West, Mpumalanga, KwaZulu Natal (KZN), and Eastern Cape.
South Africa
Provinces TASC II TB worked in
October 2010
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Key achievementsTuberculosis¡ The case detection rate in supported facilities reached the
WHO target of 70%.
¡ Successful treatment completion increased from 65% to 85% and treatment default rates were halved from 18% to 9%.
¡ Improvements in cure rates in the project focus districts increased by 10% on average.
A model for training using TB/HIV collaborativesThese peer-review processes periodically brought together all personnel within the area responsible for TB services to present the results of their work, discuss, compare, and interpret the results, identifying challenges and discussing solutions to problems encountered.
Truly supportive methods of supervision that focus on coaching and mentoringThe project’s TB coordinators provided invaluable support and individual attention to the health care workers they worked with.
University Research Co., LLC • Block B, Rigel Park Offices • 446 Rigel Avenue • South Erusmasrand 0181 [Pretoria suburb] • South AfricaTel: 27-12-484-9300 • www.urc-chs.com
Clinic map of community DOTS supporters
Improving systems to empower communities
TB/HIV Integration¡ A strong increase in the numbers of HIV patients screened for
TB and TB patients tested for HIV in the majority of facilities.
60%
50%
40%
30%
20%
10%
0%Q1
2005Q1
2008Q4
2007Q3
2007Q2
2007Q1
2007Q4
2006Q3
2006Q2
2006Q1
2006Q4
2005Q3
2005Q2
2005Q2
2008
Cure Rate
Cross-screening for TB for HIV100%
80%
60%
40%
20%
0%Oct 06–Sep 07 Oct 07–Sep 08 Oct 08–Sep 09
% TB patients tested for HIV% HIV+ screened for TB
Best practicesThe use of a standard analytical tool to improve quality of servicesBy using tools such as the District Rapid Assessment Tool (DRAT), provinces could analyze routine information to monitor progress and identify challenges.
The management and use of strategic informationWith support from TASC II TB staff to collate, present, and evaluate the results of their work systematically and formally, staff of the facilities could reflect, analyse and identify obstacles to progress toward quality-of-care objectives within their own context.
Natural VentilationT B I n f e c T I o n c o n T r o l
Printing of this material has been made possible through support provided by USAID through the TASCII TB Project managed by University Research Co., LLC
TB is caused by an organism called
Mycobacterium tuberculosis and can
be spread from person to person
through the air
Cause of TB
Controlled natural ventilation can reduce
the risk of spreading TB by diluting the
concentration of particles in room air, such
as droplet nuclei containing M. tuberculosis
Natural Ventilation
TB suspects and cases should be placed in
a separate well-ventilated area and provided
with a surgical mask or tissues to cover
their mouths or noses while waiting
TB Patients
Health care staff should position
themselves closest to the clean air source
and patients closest to exhaust fans
to ensure proper airflow
Health Care Staff
(quarterly health facility data)
(quarterly health facility data)