Project Axshya- The Global Fund Round 9 TB Strengthening Civil Society Involvement in TB Care and Control. The Union South East Asia New Delhi

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1 Project Axshya- The Global Fund Round 9 TB Strengthening Civil Society Involvement in TB Care and Control The Union South East Asia New Delhi

2 Strengthening Civil Society Involvement in TB Care and Control Partnership between public sector and civil society for TB Care and Control International Union Against Tuberculosis and Lung Disease (The Union), New Delhi (Principal Recipient) Co Principal Recipients : World Vision India and Central TB Division Grant document signed between The Global Fund and The Union : May 11, 2010 First Phase: April 2010 March 2012

3 Key Guiding Principle The project is guided by overall national strategy for TB control and WHO Stop TB Strategy. The guiding principles of the project are: Universal access to quality TB care and control services including DR-TB Community participation and ownership Sustainability of interventions Equitable distribution with social and gender sensitivity

4 Project Objectives Goal : To decrease morbidity and mortality due to drug resistant TB (DR-TB) in India and improve access to quality TB care and control services through enhanced civil society participation Objective: Improve the reach, visibility and effectiveness of RNTCP through civil society support in 374 districts across 23 states by Engage communities and community-based care providers in 374 districts across 23 states by 2015 to improve TB care and control, especially for marginalized and vulnerable populations including TB-HIV patients. 4

5 Coverage 23 States and 374 Districts 16 States exclusively for The Union PR, 5 states common with World Vision India, 2 exclusively for World Vision India States/ Districts chosen based on the programme performance Phase I coverage- 21 States and 240 Districts (Year 1-90 Districts and Year Districts) for The Union

6 GEOGRAPHICAL COVERAGE - INDIA JAMMU& KASHMIR PUNJAB HIMACHAL PRADESH HARYANA NEW DELHI UTTARAKHAND SIKKIM State Districts Bihar 25 Chhattisgarh 10 Jharkhand 15 West Bengal 4 ARUNACHAL PRADESH RAJASTHAN UTTAR PRADESH BIHAR ASSAM MEGHALAYA NAGALAND GUJARAT MADHYA PRADESH JHARKHAND WEST BENGAL TRIPURA MANIPUR MIZORAM CHHATISGARH ORISSA MAHARASTHTRA ANDHRA PRADESH UNION STATES GOA KARNATAKA WORLD VISION INDIA STATES KERALA TAMIL NADU A & N ISLANDS L COMMON STATES LAKSHADWEEP

7 Target Groups Total population covered (~750 million) Women (~174 m) and Children (~ 199 m) Population living in poor & backward districts (~250m) Population living in districts identified as predominantly tribal (~50 m) Population living in Urban slums (~ 40m ) 7

8 Key Interventions Support to Partnership for TB Care and Control in India Public education - Mass / mid media Social mobilisation for greater participation in RNTCP Engage all care providers Capacity building of different cadres of health workers and community volunteers Advocacy to increase political commitment Community systems strengthening NGOs and the Programme Community TB Care to facilitate diagnosis and treatment Demand Generation through community outreach TB/HIV coordination Coordination at different level with programme Operational research and training to strengthen ACSM 8

9 Partners and Sub-Recipients Catholic Health Association of India (CHAI) Catholic Bishop Conference of India CARD (CBCI-CARD) Christian Medical Association of India (CMAI) Emmanuel Hospital Association (EHA) MAMTA Health Institute for Mother and Child (MAMTA) Mamta Samajik Sanstha (MSS) Population Services International (PSI) Resource Group for Education and Advocacy for Community Health (REACH) Voluntary Health Association of India (VHAI)

10 Updates The first National Coordination Committee meeting was held on 19th October 2010 at LRS Institute for TB and Respiratory Diseases, New Delhi. The Project was formally launched in the States of Tamil Nadu, Karnataka, Kerala, Punjab, Uttarakhand, Manipur, Nagaland, Meghalaya, and Haryana by the respective Sub-Recipient partners. The Union in collaboration with India TB Programme (RNTCP) and LRS Institute, New Delhi conducted two Clinical Management courses in October 2010 The Project Management Unit at the USEA conducted orientation training for the Programme Managers (PM), Assistant Programme Managers (APM) and District Coordinators (DC) of all sub recipients partners, implementing the project activities in the country. The process for contracting the agency for AMC of Binocular microscope initiated for the staes of Bihar and Uttar Pradesh. Agency for designing and translation (in 19 languages) of the Patient Charter has been contracted. The final version of patient charter will be available in Period 4 Information about the Global Fund Round 9 TB project Letters to 800 Parliamentarians (both Lok Sabha and Rajya Sabha) sent Coordination meeting with WVI and programme division held

11 States Districts Population in 100,000 Bihar * Chhattisgarh * Delhi 4 29 Haryana Goa 1 9 Jammu & Kashmir 4 44 Jharkhand * Karnataka Kerala Madhya Pradesh * Maharashtra * Manipur 9 25 Meghalaya 7 25 Mizoram 8 11 Nagaland 6 16 Punjab Rajasthan * Tamil Nadu Uttar Pradesh * Uttarakhand West Bengal Total

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