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Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives:

Using Xpert to Reach the Unreached: Mobile Diagnostics Case Finding in Nepal May 2013 – December 2015. Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives:

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Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally Objectives:

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  1. Using Xpert to Reach the Unreached: Mobile Diagnostics Case Finding in NepalMay 2013 – December 2015

  2. Aim: Contribute to NTPs aim of achieving case detection rate of 82% nationally • Objectives: • To identify over 2 years an additional cases of MTB+ (3136) among slum, PLHA, prisoners, factory workers, refugees, household contacts of people living with TB and diabetics in Kathmandu Valley. • Ensure rapid diagnosis and treatment of all TB and MDR cases • To continually monitor and reflect on case finding and referral strategies • Project Target Areas and Districts: 22 districts and 29 municipalities&cities (Kathmandu, Lalitpur, Bhaktapur, Kavre, Chitwan, Makwanpur, Parsa, Bara, Rautahat, Sarlahi, Mahottari, Dhanusha, Kaski, Rupandehi, Kapilbastu, Dang, Banke, Bardiya, Kailali, Accham, Doti and Kanchanpur)

  3. TB REACH Projects in Nepal

  4. Major Activities by Target Population: • Urban Slum: Door to Door Screening, Mobilization of urban health volunteers (UHV), Urban slum health camp, continual case finding activities • PLHA: Strong communication and coordination with VCT and ARV centres, distribution of TB/HIV IEC materials, Screening of PLHAs • Household Contacts: Identifying and recording and follow up of household contacts and screening and sputum collection • Prisoners: Screening and sputum collection • Factory Workers: Screening and sputum collection • Refugees, Monks and Nuns:Screening and sputum collection • Diabetics (In Kathmandu Valley Only): Coordination and communication with diabetic clinics, screening patients for symptoms and referring patients for microscopy

  5. Strategies • Mobilization of 34 outreach workers and 91 volunteers • Coordination with local health institutions • Coordination with respective target groups and populations • Mobilization of van • Conduction of microscopic camps • Case finding and referral strategies

  6. Screening Updates (Mangsir to Falgun, 2070)

  7. Gene xpert result (Mangsir to Falgun, 2070)

  8. Gene xpert result (Mangsir to Falgun, 2070)

  9. World TB Day 2014

  10. World TB Day 2014

  11. Thank You

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