The Comprehensiveness and Quality of Directly Observed Treatment (DOTS)





 
Fast Facts:
Project document and reports:
• Implementation Manual for Global Fund Grants Sub-Recipients
• Monitoring & Reporting of Financial and Programmatic Performance
• Project document
Location: Northern States
Duration: January 2007-December 2011
Focus area: Responding to HIV/AIDS
Contributions(USD): GFATM: 7,639,579
Partners: WHO
Delivery(USD): 2010: 1,928,968
2009: 3,234,302
2008: 2,674,556
2007: 3,894,610
Contact person in UNDP: Fatima El-Sheikh, Senior Programme Officer
Fatima.elsheikh@undp.org
Background
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 (GFATM).

Objectives
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 are:
• Reach 70% case detection rate by 2008.
• 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 Units.
• 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 patients.
• A total of 736 (100.1%) policy makers were sensitized on TB and TB/HIV.



 








 
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