Sudan carries 15% of the TB burden in the
Eastern Mediterranean Region with an estimated
incidence of 60 new smear positive and 119
for all forms of TB per 100 thousand population
with only 6,518 and 19,331 cases detected
respectively translating into a case notification
rates of 21% and 53% below the global target.
Sudan has experienced chronic and more recent
conflicts affecting the TB program service.
DOTS 100% coverage was achieved in 2000
and in 2008 the new Stop TB strategy was
adopted and widely implemented such as PPM
expansion, ACSM, and others (NTP Annual
Report 2011). However, the impact of these
activities on the TB burden has not yet
been assessed particularly in areas that
are affected by the civil war and conflicts
in Darfur and the Eastern parts of the country.
Treatment success rate of 70.6% (below 85%
target) was achieved among new smear positive
cases detected in 2011 and defaulter rate
has increased to 12% as a result of secession
between North and South in states like White
Nile and South Kordofan that served as transit
The overall goal of the SSF_TB/HSS Project
is to drastically reduce the TB burden in
Sudan, particularly among poor and vulnerable
populations in line with the 2015 MDGs and
the Stop TB Partnership targets. The project
aims to decrease the burden of TB through
reducing mortality, morbidity and transmission
of the disease until the disease no longer
poses a threat to public health in Sudan.
It also aims to reduce human suffering and
the social and economic burden which families
and communities have to bear as a consequence.
The project aims to scale up and strengthen
quality DOTs including creating access to
war-affected and post conflict regions;
strengthen partnership including PPM and
engagement of health care providers; prevent
and control MDR-TB, and address TB contact
management; as well as raise awareness and
participation of communities and politicians,
including the creation of positive perceptions
toward TB prevention, treatment efficacy
and adherence, in addition to reducing stigmatizing
attitudes the burden of TB/HIV in Patients
In order to meet these needs, UNDP launched
The Comprehensiveness and Quality of Directly
Observed Treatment (DOTS) Project in January
2007 with the support of The Global Fund
to Fight AIDS, Tuberculosis and Malaria
In addition to the Addressing Tuberculosis
control in war affected, post conflict areas
and other challenges Project was launched
for the period 2010-2015, which was later
combined with the previous grant under the
Single Stream of Funding.
• Reduce the burden of TB through
reducing mortality, morbidity and transmission
of the disease until TB no longer poses
a threat to public health in Sudan.
• Reduce human suffering and the social
and economic burden families and communities
have to bear as a consequence.
• Drastically reduce the TB burden
in Sudan, particularly among poor and vulnerable
populations in line with the 2015 MDG and
the Stop TB Partnership targets.
• Scale up and strengthen quality
DOTs including creating access to war-affected
and post conflict regions.
• Strengthen partnerships including
PPM and engagement of health care providers.
• Prevent and control MDR-TB, and
address TB contact management .
• Raise awareness and participation
of communities and politicians, including
the creation of positive perceptions toward
TB prevention, treatment efficacy and adherence,
and reduce stigmatizing attitudes.
• Reduce the burden of TB/HIV in patients
and PLWHA .
Snapshots of the project's major achievements
• TB treatment was provided to 19,831
• The project detected 6, 518 new
smear positive TB cases.
• 70.6% of reported new smear positive
TB cases were successfully treated.
• 254 TB cases were diagnosed as MDR-TB
cases and put on treatment.
• 190,589 condoms were distributed
to TB patients.
• Almost 2, 827 people trained on
TB management, contact tracing and management,
PPM, DOTS links and health communication
• 27 TBMUs were newly established
in Darfur’s’ states.
• 54 DOTs were newly established in
b. Health System Strengthening
• A health system strengthening project
implementation mechanism was created within
the Ministry of Health and the CCM, including
establishing a HSS sub-CCM committee
• Site assessment and design work
for rehabilitation of the Academies of health
Sciences finalized; and civil work is on-going
to be realized by June 2013.
• Equipments’ to upgrade 5 rural
hospitals, 25 health centers, 15 laboratories
& 5 health academies were procured &
handed over to MOH.
• 293 health management personnel
from 114 localities trained in decision-making,
teamwork, effective meetings, and health
planning and district health management
• 25 participants from states and
federal level trained on M&E of the
health system, out of which 5 staff was
nominated to participate in external advance
training on M&E will be conducted in
• 42 health managers from states and
localities trained in health economics/financing.
• A framework for community based
health insurance (CNHI) has been designed.
• 5 fellowships in health economics
& health care management were awarded
in collaboration with the national health
insurance fund & university of Chulalongkorn,
• 20 health mangers from states &
localities were enrolled in health economics/financing
4 week in country short course in collaboration
with the national health insurance fund
& university of Chulalongkorn, Bangkok,
• A new implementation strategy was
developed in light of the changes in the
implementation arrangement for phase II.
Initially during 2007 it was in the 15 northern
states and 6 southern states but in 2009
it became only in the northern states Currently
All 17 Northern States of Sudan are covered
Fund Programme Management Unit
UNDP is a key partner to the Global Fund
to Fight HIV/AIDS, Tuberculosis and Malaria
(GFATM) and is the UN agency assuming the
role of Principal Recipient of GFATM grants
in Sudan. As the Principal Recipient of
5 ongoing grants (2005-2016) amounting to
more than USD 400 million, UNDP is managing
the largest fund portfolio in the Arab region.
UNDP‘s management role consists of
implementing grants, ensuring financial
accountability, and training of a variety
of national and international counterparts
on programme management and financial accountability.
In its role as Principal Recipient, UNDP
ensures quality financial management, timely
procurement of supplies and service delivery
as well as efficient monitoring and evaluation
of grant implementation activities.
To ensure the proper management of all the
grants, the Global Fund Programme Unit is
divided into eight sections- four sections
managing the specific grants, a Monitoring
and Evaluation section to assess progress
made, a Finance section as well as a Procurement
section and a Supply Chain section.
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