With a 1.8% risk
of tuberculosis infection annually,
Sudan is the third most burdened country
in the Eastern Mediterranean Region.
Out of 100,000, 62 people die as a
result of tuberculosis in Sudan. The
expected number of new smear-positive
cases is 32,614 from a total 33.6
million people and with an average
case notification of approximately
25,000 cases (40% detection rate).
Currently, Directly Observed Therapy
Services (DOTS) are provided through
326 diagnostic centres and 904 DOT-treatment
units with a focus on strengthening
passive case detection, uninterrupted
supply of anti-TB drugs, monitoring
of case detection and treatment outcomes.
In order to meet these objectives,
the Comprehensiveness and Quality
of Directly Observed Treatment (DOTS)
project was launched in January 2007
with the support of the Global Fund
to Fight AIDS, Tuberculosis and Malaria
The project intends to scale-up existing
interventions through building and
maintaining human resources; strengthening
supervision; monitoring and evaluation;
strengthening the Procurement and
Supply-chain Management (PSM) system,
operational research, and advocacy
to increase political commitment to
DOTS; while introducing new initiatives
through behavioural communication
change, expanding DOT service by collaborating
with other health providers, prevention
of HIV in tuberculosis patients, and
intensifying tuberculosis case finding
in People Living With AIDS (PLWA).
The project’s specific objectives
• Reach 70% case detection rate
• Reach 85% in tuberculosis
recovery success rates.
• Halve the prevalence and deaths
caused by tuberculosis by 2010.
• Reduce social stigma and adverse
socio-economic impacts of tuberculosis.
Snapshots of the project's major achievements
• During 2009, the UNDP Global
Fund to Fight AIDS, TB and Malaria
procured drugs for National TB Programme
with a total cost of US $887,867.00
• The programme detected 4,206
new positive cases through regular
reporting of 313 Tuberculosis Management
• Out of 4,004 new smear positive
TB cases registered, 3,723 (80%) successfully
completed their treatment up to end
of the second quarter of 2009.
• A total of 2,451 (85%) health
workers were trained in TB management
using Directly Observed Treatment
DOTS according to the national guidelines.
• A total of 2,789 (114%) TB
patients received HIV counseling and
testing for HIV/AIDS.
• A total of 944,906 (118%)
condoms distributed for free to TB
• A total of 736 (100.1%) policy
makers were sensitized on TB and TB/HIV.