Fighting TB: communities, health units and authorities together to promote prevention, early diagnosis and treatment
Ethiopia
Status
ImplementationAid type
Project-type interventionsEthiopia
Location
-
€ 430,000
Committed
Committed
€ 172,000
Used
Used
Description
Contextual analysis: Despite the progress made in the fight against TB, Ethiopia records a rate of 132 TB cases per 100,000 inhabitants (approximately 151,000 cases) and a death rate from tuberculosis which in 2016 stood at 25 / 100,000. According to data from the World Bank, in 2020 in Ethiopia the national coverage of TB treatment was around 71%, however the National Program to fight TB and Leprosy still fails to reach 29% of estimated TB cases and 50% of MDR-TB cases and already detected a declining annual case notification trend in 2020 (TB NSP 2021). Nationally there are differences in coverage indicators for TB screening and case notification rates, with the South West Shoa Zone reporting a percentage of reported and treated new cases and relapses among the estimated number of TB cases in 2021 at 23% (source: TB data from the National Program for the Wolisso area, Goro). Adding on to this at least half of the expected TB cases (663) have not been identified in the past year. (Data from the HMIS TB report). The multi-dimensional crisis that the country is going through due to the worsening of political and social tensions within the country and the Tigray War, the severe drought – all of these factors can further nullify the results achieved by the country in the fight against TB. In close connection with this risk, it must also be emphasized that Ethiopia is one of the African countries most affected by the Covid-19 pandemic with over 475,012 confirmed cases and 7,515 deaths reported to the WHO as of 6 June 2022. According to the Global Fund Report for 2021, the impact of Covid-19 on infectious disease control and tuberculosis in particular has been significant. Monthly and quarterly notifications from newly diagnosed TB people in 2020 and the first half of 2021 are estimated to have been substantially lower than the 2019 average in Ethiopia. It is worth noting that the Oromya region was one of the regions most affected by Covid-19 after Addis Ababa, with a total of 19,416 cases of Covid-19 identified (weekly EPHI bulletin May 2022). The needs assessment confirmed that the underlying problem hinting to these low detection rates are due to the main sustaining problem of low access to quality TB preventative, diagnostic and treatment/follow up services. This is due to a three-delay in seeking care, reaching the health facility and accessing care once at health facility level. The project intends to address needs in terms of provision of TB related services for the populations still unreached by services across South West Shoa Zone. Against this background, the project aims to support Ethiopian healthcare authorities and in particular, the South West Shewa Zone Health Department (SWSZHD) and the National TB and Leprosy programme to achieve SDG 3.3. and the Global Fund Strategic Objective 1 (Maximize impact against HIV, TB and Malaria) through a health system strengthening approach. The specific objective is to enhance access to preventative, diagnostic and treatment services for TB across the South West Shoa Zone and in three districts/woredas of Goro, Wolisso rural and Wolisso town. This objective will be achieved through the following expected results and main activities: ER1. Increased knowledge and subsequently demand for TB preventative, early diagnosis and treatment/follow up among communities living in the districts of Wolisso Town, Wolisso Rural and Goro. Main activities under this result: training of HEWs (Health Extension Workers) on contact tracing, testing, health promotion and sensitization activities at community level; community screening campaigns in the targeted woredas; support to active finding and referral/follow up of TB complicated cases; ER2. Improved capacity of healthcare workers to diagnose, treat and follow TB patients in the targeted facilities in districts of Wolisso Town, Wolisso rural and Goro.
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| Year | Committed | Used |
|---|---|---|
| 2024 | € 430,000 | € 172,000 |
Agency
| Type | Name | Channel code |
|---|---|---|
| Government | AICS - Italian Agency for Cooperation and Development | 11000 |
Channel reported
| Type | Name | Channel code |
|---|---|---|
| National NGO | MEDICI CON L'AFRICA CUAMM | 22000 |
Project data
Sectors
Policy markers
SDGs
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