Overview of strategy for FY 14
CAP-TB: Goal
• To reduce the incidence and mortality from MDR TB
in Myanmar
• In partnership with National Tuberculosis Programme
CAP-TB Strategy for FY14
• Evaluate implementation to date (FY12-FY13)
• Identify successful strategies to continue and
potentially scale up
• Review current literature for recent evidence on
potential innovations, etc., that can be piloted
through the project
CAP-TB: Strategic Model
IR1: Strengthened MDR-TB prevention
Output 1.1 Mobilized communities to advocate for and use TB
• Continue community outreach activities in project
• Provide DOTs to TB patients
IR1: Strengthened MDR-TB prevention
Output 1.2 Scaled-up implementation of TB infection control in
health facilities
• Higher level advocacy needed
• Shelters??
• N95 Masks for health staff
IR2: Strengthened MDR-TB Management
• TA for BSL3 Lab in 2 sites
• Training Lab Tech for Gene Xpert
• Refresher and follow up training on PMDT
• Satellite site for MDRTB patient follow up
– HR capacity support
• Continue Patient support
IR3: Improved strategic information for MDR-TB
IR4: Strengthened enabling environment for MDR-TB
• Drug resistance pattern on
– Cat I failure, Cat II failure, New Case
• Support
– Childhood TB mission: Prof. Stephen Graham 11-21
Aug, 2013
– TA for Xpert introduction and lab. scale up plan – Dr.
Pierre-Yves Norval and team (27-8-2013 to 7-9-2013)
• MDR-TB database
CAP-TB: Partners in Myanmar
• Continue with patient treatment support
• Identify risk groups for piloting innovative methods
to improve case detection/treatment success
– Childhood TB
– PLHIV, geographic areas (border and remote) with
high treatment interruption/default rates, etc.
• Organizational Capacity Development
CAP-TB Partners
1. Myanmar Medical Association (MMA)
• Follow up trained general practitioners (GPs) on standard
treatment of TB and diagnosis of MDR-TB and infection
control in the 18 townships
• Continue DOTS to MDR-TB patients, manage minor adverse
events, and refer cases to medical facilities using community
CAP-TB Partners
2. Pyi Gyi Khin (PGK)
Continue Community outreach,
• case finding,
• referral for TB/MDR-TB patients and
• home base care
• contacts investigation,
• infection control and
• MDR-TB patients support
in current 4 townships and expansion of 2 townships in Yangon
Shwe Pyi Thar
North Okkalapa
CAP-TB Partners
3. Myanmar Health Assistant Association (MHAA)
Continue implementing the same activities as PGK in Mandalay 7
townships and expansion of 2 townships in Yangon
Hlaing Thar Yar
CAP-TB Partners
4. Myanmar Business Coalition on AID (MBCA)
Continue community outreach, case finding and referral for
TB/MDR-TB patients in Monywa Industrial zone and expand
to downtown businesses .
Provide DOT and patient
support to TB/MDR-TB
patients in Monywa and
Chaung Oo

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