Tuberculosis: Our Impact

The Management Sciences for Health (MSH) global team of over 2,300 people from more than 70 nations is commemorating World AIDS Day 2012 in over 30 country offices around the world, including Nigeria, Democratic Republic of the Congo (DRC), Afghanistan, Ethiopia, South Africa, Uganda, Haiti, and the United States.On World AIDS Day, MSH Nigeria, in collaboration with the Discovery Channel Global Education Partnership, Chevron, and Access Bank Plc, will be hosting a launch of the award-winning film titled “INSIDE STORY: The Science of HIV/AIDS” in Lagos, Nigeria.

Please join MSH and partners during these featured events at the 43rd Union World Conference on Lung Health.Follow the conference on Twitter @MSHHealthImpact with hashtag #Kuala2012.Health Systems Innovation through Pharmaceutical ManagementWorkshop 03: Transition to Sustainable Pharmaceutical Management Systems for TBWednesday, 14 November | 09:00–17:00 | Room 407Organized by MSH and the Global Drug Facility (GDF)MSH and the GDF will share experiences and strategies for improving systems and ensuring sustainability and quality of TB pharmaceutical services delivery.

Homa Bay TB team, MSF, and SIAPS collaboration. (Photo credit: MSH)Successful treatment of tuberculosis (TB) is one of the key indicators of a TB Control Program’s performance and essential to containing the emergence of anti-TB drug resistance. Multi-drug resistant TB (MDR-TB) treatment requires medicines that are expensive, involve longer treatment regimens, are toxic, and can cause patients to have severe side effects.

Management Sciences for Health takes pride in announcing that on September 30, 2012, it was awarded a contract by the U.S. Agency for International Development (USAID) to continue its project Grant Management Solutions (GMS) with 25 partners. The initial three-year term of the new contract may be extended up to an additional two years, and has a ceiling value of $99.9 million.

Management Sciences for Health and its fellow Global AIDS Policy Partnership (GAPP) organizations wrote this letter to US Global AIDS Coordinator Eric Goosby to thank him for the opportunity to provide input for the Blueprint for an AIDS-Free Generation, first announced by Secretary of State Hillary Clinton at the 19th International AIDS Conference. The GAPP advocacy community is a unique coalition of civil society groups, implementing organizations, and faith-based groups.

In Uganda, management of tuberculosis (TB) medicines is fully decentralized. Like other government and private programs, the Ministry of Health’s (MoH) National Tuberculosis and Leprosy Program (NTLP) procured and supplied tuberculosis (TB) medicines independently to district stores.

Dr. Anyo takes staff and interns through a hands-on training exercise during onsite supervision. {Photo credit: Gladys Anyo/MSH.}Photo credit: Gladys Anyo/MSH.

While tuberculosis (TB) is receiving widespread attention in the global health community, many in South Sudan still consider this disease a repulsive affliction and feel uncomfortable associating with TB patients. In addition to fear and discrimination in the general population, the nation’s health professionals often avoid working with TB patients, TB equipment, and sputum samples for fear that they could become infected themselves.

Dr. Eliud Wandwalo. {Photo credit: MSH.}Photo credit: MSH.

MSH works with international, national, and local partners to strengthen the capacity of health systems, national tuberculosis (TB) programs, and health managers to improve the lives of those affected by TB and prevent the spread of the disease. MSH participates in several global TB initiatives, including USAID’s Tuberculosis CARE I Program (following the TB CAP program); the STOP TB Partnership; and the Global Fund to Fight AIDS, Tuberculosis, and Malaria.

Sileshi Idris recording TB data at Fito Health Center, Ethiopia. {Photo credit: Kelem Kebede/MSH.}Photo credit: Kelem Kebede/MSH.

“I once had tuberculosis myself. I was stigmatized by the community and could not receive appropriate treatment. My own suffering encouraged me to serve the community so I could protect more people from being infected by TB,” said Sileshi Idiris, a clinical nurse and tuberculosis (TB) focal person at Fito Health Center in Ethiopia. Despite his enthusiasm to work as a TB focal person, Sleshi initially lacked the knowledge and skills to properly care for TB patients. Sleshi needed clinical skills training and guidance on how to follow Ethiopia’s national TB control guidelines.

Staff from a medical team at Gerems Health Center who were trained by HEAL TB to identify individuals with TB symptoms and refer them to a health center for treatment. {Photo credit: Dr. Kassahun Melkieneh/ MSH.}Photo credit: Dr. Kassahun Melkieneh/ MSH.

Twenty-two-year-old Melkamu Belete was misdiagnosed and left without proper treatment for six months. Although Melkamu had visited four health facilities to be treated for a cough, fever, and loss of appetite, the health care staff did not test him for tuberculosis (TB). Instead, each facility sent him home with antibiotics that did not heal him. Despite worsening symptoms, Melkamu eventually gave up and stopped seeking medical advice.

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