Improving and Expanding Tuberculosis Control in Southern Sudan

Fast Facts:
• Project Document
• 2009 Annual Report -
  Global Fund Grants in Southern Sudan
Location: In all ten states of Southern Sudan
Duration: January 2009 – December 2013
Focus area: Responding to HIV/AIDS
Reducing Human Poverty
Contributions(USD): GFATM: 7,256,752
Partners: Ministry of Health,
Catholic Diocese of Torit, Arkangelo Ali Association, Malteser International
Delivery(USD): 2010: $3,766,251.17
2009: $1,413,981.69
Contact person in UNDP: Madelena Monoja
Tuberculosis (TB) is one of the major causes of mortality and morbidity in Southern Sudan. The high prevalence of poverty, the epidemic level of HIV in the population, the large number of displaced people, the poor housing conditions and the low level of awareness about the disease all contribute to the high incidence of tuberculosis in the country - currently estimated at 140 per 100,000 of the population. In order to curb the negative impact of tuberculosis on health and the economy of Southern Sudan, this project has been at the forefront in scaling up DOTS coverage in Southern Sudan by providing all TB management units with the necessary diagnostic, treatment, care, prevention and control services within their respective catchments. The Round 7 TB grant is designed to reduce the burden of tuberculosis in Southern Sudan. Phase I of the project implementation started in January 2009 and ended on 31 December 2010.
The goal of the programme is to continue contributing to the improvement of the quality of life of the people of Southern Sudan by reducing dramatically the burden of TB in Southern Sudan by 2015 in line with the Millennium Development Goals and Stop TB Partnership Targets. The objectives are pursuing high quality expansion and enhancement of DOTS (Direct Observed Treatment – Short course) and addressing the challenge of multi-drug resistance.

The objectives of the TB Round 7 Grant Programme in Southern Sudan are:
(1) Pursuing high quality DOTS expansion and enhancement;
(2) Improving monitoring and evaluation through human resources development and technical assistance;
(3)Addressing the multidrug resistant challenge;
(4) Health System strengthening

Snapshots of the project's major achievements
• The project was able to support 50 TB management units across Southern Sudan ensuring adequate staffing, sufficient drugs and laboratory drugs for optimal TB diagnosis and treatment.
• A total of 2,787 infectious cases of TB were detected and 78% successfully treated.
• Over 5,000,000 population of Southern Sudan is now covered by TB DOTS services.
• A total of 20 Sudanese experts have been trained overseas in various international TB programme courses.
• The monitoring and evaluation system for TB Control Program has been strengthened through development of a framework for the system, staffing of the Central National TB Programme, training of state TB Coordinators, and regular monitoring and supervisory visits to all health facilities.
• The project has been undertaking outreach programme to raise the public awareness about TB.
• The project has supported the commemoration of World TB Day in the Southern capital and all state capitals.
• Intensive health education sessions have been ongoing in all facilities in the campaign against TB.
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