Capabilities in TB

Founded in 1971, MSH has worked with health care policymakers, managers, providers, community leaders, and consumers in 150 countries to improve the availability, affordability, and quality of health services. The organization’s multinational, multi­disciplinary 2,500+ staff work at all levels to strengthen health systems and the capabilities of governments, local organizations, and the health workforce to deliver high-quality health services. MSH offers the expertise of more than 170 staff working in TB control in 15 countries. MSH’s capabilities in HIV & AIDS; maternal, newborn, and child health; family planning/reproductive health; malaria; and chronic diseases complement its experience in TB and allow the organization to design and manage integrated service delivery programs.

 MSH’S CORE CAPABILITIES IN TB

Comprehensive TB control interventions. Through Help Ethiopia Address the Low Tuberculosis Performance (HEAL TB), MSH assisted the Government of Ethiopia to improve, expand, and sustain TB services through a comprehensive package of TB control interven­tions: expansion of DOTS, response to MDR-TB, TB/HIV collaboration, and health system strengthening. HEAL TB strengthened laboratory services and improved the organization of TB case detection in the Amhara and Oromia regions to treatment and expanded the number of health facilities capable of TB diagnostics to 1611.

The Uganda TRACK TB project is increasing TB case detection and treatment success in focus areas. With partners, MSH is working to build the capacity of the National Tuberculosis and Leprosy Program, implement an urban DOTS model for Kampala, establish a quality program for MDR-TB, and improve coordination and implementation of DOTS, TB/HIV, and MDR-TB interventions.

Case detection. MSH has introduced standard operating procedures at the health facility level in Ethiopia, Uganda, Afghanistan, and South Sudan.

Programmatic management of drug-resistant TB. To tackle MDR- and XDR-TB, MSH is supporting national TB programs in Ethiopia, Uganda, and Nigeria.

EXAMPLE: With Ethiopia’s Ministry of Health, HEAL TB has established MDR-TB wards at hospitals, implemented an ambulatory MDR-TB treatment system, and trained health workers in MDR-TB management.

TB infection control. MSH supports TB programs in five nations to implement and monitor all as-pects of infection control. EXAMPLE; HEAL TB established a TB infection control committee that helps to plan, implement, and monitor TB infection control activities at 691 health facilities.

Health information. MSH developed e-TB Manager, a Web-based tool for managing all the information that national TB control programs need. It integrates data across all aspects of TB control, including information about suspects, patients, medicines, laboratory testing, diagnosis, treatment, and outcomes.