DOCSLIB.ORG

Tuberculosis Control in Southern Malawi

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Tuberculosis Control in Southern Malawi Tuberculosis Control in Southern Malawi Annual Report: October 1, 2006 – September 30, 2007 Cooperative Agreement #: GHS-A-00-06-00012-00 Project Location: Malawi (Mulanje and Phalombe Districts) Project Duration: October 1, 2006 – September 29, 2011 Submitted to: Jill Boezwinkle Cognizant Technical Officer USAID, Office of HIV/AIDS Submitted by: Project HOPE, The People-to-People Health Foundation, Inc. Millwood, Virginia 22646 Tel: (540) 837-2100 Fax: (540) 837-1813 Report Authors: Sandra Dalebout Timothy Kachule Thandiwe Kamanga Elizabeth Kapyepye Caroline Teter Renslow Sherer Marija Joncesvska Table of Contents Table of Contents ............................................................................................................................ 2 Executive Summary ......................................................................................................................... 4 Introduction ............................................................................................................ 4 Overview of Activities and Approaches ....................................................................... 4 Summary of Accomplishments .................................................................................. 4 Major Challenges ..................................................................................................... 4 Activities Planned for Next Year ................................................................................. 5 Program Strategy ............................................................................................................................ 6 Strategic Objective 1: Improve treatment outcomes of TB cases and TB cases with HIV co-infection in Mulanje and Phalombe ........................................................................ 6 Strategic Objective 2: Increase case detection of TB, including among people with HIV co-infection in Mulanje and Phalombe. ....................................................................... 6 Main Accomplishments ............................................................................................. 6 Strategic Objective 1: Improve treatment outcomes of TB cases and TB cases with HIV co-infection in Mulanje and Phalombe ...................................................................... 7 Strategic Objective 2: Increase case detection of TB, including among people with HIV co-infection in Mulanje and Phalombe. ..................................................................... 9 Accomplishments (continued) ....................................................................................................... 11 Partnerships ......................................................................................................... 11 Mulanje District Health Management Team ............................................................ 11 District Assemblies.............................................................................................. 12 TB Control Partners Strategic Meeting ................................................................... 12 Zonal Quarterly TB Meeting.................................................................................. 12 Zonal Quarterly Private Practitioners Meeting ......................................................... 12 Multi Drug Resistance (MDR) TB Meeting ............................................................... 13 District Executive Committee (DEC) Meeting .......................................................... 13 National TB Events ................................................................................................ 13 Staff Capacity Building ........................................................................................... 14 Visit to a model village - Mtsiriza .......................................................................... 14 Lessons learned .................................................................................................. 14 Way forward ...................................................................................................... 15 TB Management Training ........................................................................................ 16 Group Discussions ................................................................................................. 17 Community Leaders Orientation ........................................................................... 17 Microscopists Refresher Training.............................................................................. 18 Successes .......................................................................................................... 21 Challenges ......................................................................................................... 21 Recommendations for Future Trainings/Lessons Learned ......................................... 21 Way Forward ...................................................................................................... 22 Health Worker Training .......................................................................................... 22 Monthly Supportive Supervision Visits by Project HOPE Team and MOH Partners ........... 24 Major findings for the health facilities visited .......................................................... 25 Possible Reasons for the Problems: ....................................................................... 26 Actions and Recommendations: ............................................................................ 26 Challenges: ........................................................................................................ 26 Lessons Learned:................................................................................................ 27 Quarterly Supportive Supervision by Zone Supervisor ................................................ 27 Semi-Annual Review Meetings ................................................................................. 36 Curricula Development ........................................................................................... 37 Microscope Donations ............................................................................................ 37 TB Control in Southern Malawi Annual Report (Oct. 1, 2006 – Sept. 30, 2007) Challenges..................................................................................................................................... 37 Technical Assistance ..................................................................................................................... 38 Changes from DIP ........................................................................................................................ 39 Monitoring .................................................................................................................................... 39 Absolute and Percent of Case Detection in Mulanje and Phalombe Districts ................... 39 DOTS OPTION IN 1ST AND 2ND QUARTER 2007 .......................................................... 40 Absolute Values for TB patients offered DCT and on Cotrimoxazole treatment in Mulanje and Phalombe Districts ........................................................................................ 41 Supervisory Checklist Design ............................................................................... 41 Sustainability Plan ........................................................................................................................ 41 Baseline Data ........................................................................................................ 42 Community Baseline Summary ................................................................................ 43 Health Facility Survey ............................................................................................ 43 Laboratory Assessment .......................................................................................... 50 Smear preparation and staining ............................................................................ 53 Specific Information Requested During the DIP .......................................................................... 55 Social and Behavior Change Strategy for TB Control ................................................................. 55 Summary of strategy: ............................................................................................ 55 Channels of Communication: .................................................................................. 56 BEHAVE Framework ............................................................................................... 56 Monitoring table .................................................................................................... 57 Management System...................................................................................................................... 57 Mission Collaboration .................................................................................................................. 59 Timeline for Year 2 ....................................................................................................................... 59 Results Highlight ........................................................................................................................... 60 Publications .................................................................................................................................. 60 Success
Load more

Recommended publications
  • Malawi 2018-19 Draft Financial Statement
    Budget Document No. 3 Government of Malawi DRAFT 2018/19 FINANCIAL STATEMENT Ministry of Finance, Economic Planning and Development P.O. Box 30049 Lilongwe ii 2018-19 Financial Statement DRAFT 2018/19 FINANCIAL STATEMENT iii 2018-19 Financial Statement iv 2018-19 Financial Statement Table of Contents Abbreviations and Acronyms .......................................................................................................................... viii 1. INTRODUCTION .......................................................................................................................................... 9 2. THE 2016/17 FISCAL YEAR PERFORMANCE.............................................................................................. 10 2.1 Revenue and Grants ......................................................................................................................... 12 2.1.1 Domestic Revenue ................................................................................................................... 12 2.1.2 Grants ....................................................................................................................................... 13 2.2 Expenditure and Net Lending .......................................................................................................... 14 2.2.1 Recurrent Expenditure ............................................................................................................. 15 2.2.2 Development Expenditures .....................................................................................................
    [Show full text]
  • Draft 2019/20 Financial Statement
    Budget Document No. 3 Government of Malawi DRAFT 2019/20 FINANCIAL STATEMENT Ministry of Finance, Economic Planning and Development P.O. Box 30049 Lilongwe Table of Contents Abbreviations and Acronyms ............................................................................................................................ iv 1. INTRODUCTION .......................................................................................................................................... 5 2. THE 2017/18 FISCAL YEAR PERFOMANCE .................................................................................................. 6 2.1 Revenue ................................................................................................................................................ 9 2.1.1 Domestic Revenue ............................................................................................................................... 9 2.1.2 Grants .................................................................................................................................................. 10 2.2 Expenditure ......................................................................................................................................... 11 2.2.1 Expenses ............................................................................................................................................. 11 2.2.2 Acquisition of Non-Financial Assets .................................................................................................. 12
    [Show full text]
  • Map District Site Balaka Balaka District Hospital Balaka Balaka Opd
    Map District Site Balaka Balaka District Hospital Balaka Balaka Opd Health Centre Balaka Chiendausiku Health Centre Balaka Kalembo Health Centre Balaka Kankao Health Centre Balaka Kwitanda Health Centre Balaka Mbera Health Centre Balaka Namanolo Health Centre Balaka Namdumbo Health Centre Balaka Phalula Health Centre Balaka Phimbi Health Centre Balaka Utale 1 Health Centre Balaka Utale 2 Health Centre Blantyre Bangwe Health Centre Blantyre Blantyre Adventist Hospital Blantyre Blantyre City Assembly Clinic Blantyre Chavala Health Centre Blantyre Chichiri Prison Clinic Blantyre Chikowa Health Centre Blantyre Chileka Health Centre Blantyre Blantyre Chilomoni Health Centre Blantyre Chimembe Health Centre Blantyre Chirimba Health Centre Blantyre Dziwe Health Centre Blantyre Kadidi Health Centre Blantyre Limbe Health Centre Blantyre Lirangwe Health Centre Blantyre Lundu Health Centre Blantyre Macro Blantyre Blantyre Madziabango Health Centre Blantyre Makata Health Centre Lunzu Blantyre Makhetha Clinic Blantyre Masm Medi Clinic Limbe Blantyre Mdeka Health Centre Blantyre Mlambe Mission Hospital Blantyre Mpemba Health Centre Blantyre Ndirande Health Centre Blantyre Queen Elizabeth Central Hospital Blantyre South Lunzu Health Centre Blantyre Zingwangwa Health Centre Chikwawa Chapananga Health Centre Chikwawa Chikwawa District Hospital Chikwawa Chipwaila Health Centre Chikwawa Dolo Health Centre Chikwawa Kakoma Health Centre Map District Site Chikwawa Kalulu Health Centre, Chikwawa Chikwawa Makhwira Health Centre Chikwawa Mapelera Health Centre
    [Show full text]
  • A Case Study of the Mulanje Mountain Forest Reserve and Its Surroundings
    Climate change and adaptation strategies: a case study of the Mulanje Mountain Forest Reserve and its surroundings Climate change and adaptation strategies: a case study of the Mulanje Mountain Forest Reserve and its surroundings Malawi By David Nangoma1 and Everhart Nangoma2 1 David Nangoma is the Biodiversity Conservation and Research & Monitoring Specialist at the Mulanje Mountain Conservation Trust 2 Everhart Nangoma is a former CLACC Climate Change Fellow, Co-ordination Unit for the Rehabilitation of the Environment and IIED 1 Climate change and adaptation strategies: a case study of the Mulanje Mountain Forest Reserve and its surroundings Contents 1.0 Introduction..................................................................................................................3 1.1 Livelihoods .................................................................................................................3 1.2 Climate.......................................................................................................................4 1.3 Resources..................................................................................................................4 2.0 Changes in Climate .....................................................................................................5 2.1 Indicators of change – temperature and rainfall.........................................................6 3.0 Changes in resources .................................................................................................7 3.1 Water .........................................................................................................................7
    [Show full text]
  • Re-Examining the Past and Rethinking The
    University of South Carolina Scholar Commons Theses and Dissertations 1-1-2013 Re-examining the Past and Rethinking the Future at Mount Mulanje Forest Reserve, Malawi: New Directions for Local Engagement Mary Christian Thompson University of South Carolina - Columbia Follow this and additional works at: https://scholarcommons.sc.edu/etd Part of the Educational Administration and Supervision Commons Recommended Citation Thompson, M. C.(2013). Re-examining the Past and Rethinking the Future at Mount Mulanje Forest Reserve, Malawi: New Directions for Local Engagement. (Doctoral dissertation). Retrieved from https://scholarcommons.sc.edu/etd/2497 This Open Access Dissertation is brought to you by Scholar Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. Re-examining the Past and Rethinking the Future at Mount Mulanje Forest Reserve, Malawi: New Directions for Local Engagement By Mary C. Thompson Bachelor of Arts University of Tennessee, 2004 Master of Arts University of South Carolina, 2008 Submitted in Partial Fulfillment of the Requirements For the Degree of Doctor of Philosophy in Geography College of Arts and Sciences University of South Carolina 2013 Accepted by: Edward R. Carr, Major Professor John Kupfer, Committee Member Brent McCusker, Committee Member Caroline Nagel, Committee Member Lacy Ford, Vice Provost and Dean of Graduate Studies © Copyright by Mary C. Thompson, 2013 All Rights Reserved. ii ACKNOWLEDGEMENTS I would like to acknowledge the immense support that the following people have given me during the preparation of this dissertation without which I would not have succeeded.
    [Show full text]
  • Malawi HIV Fact Sheet.Indd
    For additional information on the results of the ()60REVALENCEIN#OUPLES 2004 Malawi Demographic and Health Survey, 2004 Malawi please contact: "OTHPARTNERS "OTHPARTNERS()6 ()6NEGATIVE POSITIVE Demographic and In Malawi: -ANPOSITIVE National Statistical Offi ce Health Survey WOMANNEGATIVE Demography and Social Statistics Division 7OMANPOSITIVE MANNEGATIVE Chimbiya Road P.O. Box 333 Zomba, Malawi The HIV status of 10 percent of couples is discor- Telephone: 265-1-524-377/111; dant, meaning that one partner is infected and the Fax: 265-1-525-130; E-mail: [email protected] other is not. This indicates a need for couple-ori- web: www.nso.malawi.net ented voluntary counseling and testing, as most of these couples do not know their status. In USA: MEASURE DHS ORC Macro 11785 Beltsville Drive, Suite 300 HIV/AIDS ()60REVALENCEAND34)S Calverton, MD 20705 USA (AD34)OR34)SYMPTOMS .O34) NOSYMPTOMS Telephone: 301-572-0200 Fax: 301-572-0999 Prevalence E-mail: [email protected] web: www.measuredhs.com The 2004 MDHS was conducted by the National Statistical Offi ce. Most of the funds for the local costs of the survey 0ERCENT()6POSITIVE were provided by multiple donors through the National 7OMEN -EN 4OTAL AIDS Commission. The United States Agency for Men and women with a history of sexually trans- International Development (USAID) provided additional mitted infection (STI) or STI symptoms have higher funds for the technical assistance through ORC Macro. rates of HIV infection than those with none. The Department for International Development (DfID) of the British Government, UNICEF, and UNFPA also provided funds for the survey. The Centers for Disease Response Rates and Methods Control and Prevention provided technical assistance in HIV prevalence data were obtained from fi ngerstick dried blood spots vol- HIV testing.
    [Show full text]
  • ACE) Office of Higher Education for Development (HED
    U.S. Agency for International Development (USAID) and The American Council on Education (ACE) office of Higher Education for Development (HED) Michigan State University and University of Malawi Partnership “Agro-ecosystems Services: Linking Science to Action in Malawi and the Region (AgESS)” April 5, 2011 – May 30, 2014 FINAL ASSOCIATE AWARD REPORT August 2014 USAID/Malawi Associate Award Cooperative Agreement # AEG-A-00-05-00007-00 Associate Cooperative Agreement # 674-A-00-11-00030-00 Higher Education for Development was established in 1992 by the six major U.S. higher education associations to engage the higher education community in global development. — American Council on Education (ACE) | American Association of Community Colleges (AACC) | American Association of State Colleges and Universities (AASCU) | Association of American Universities (AAU) | National Association of Independent Colleges and Universities (NAICU) | Association of Public and Land-Grant Universities (APLU) PARTNERSHIP INFORMATION Lead Partner Institutions: Michigan State University; University of Malawi-Chancellor College; Lilongwe University of Agriculture and Natural Resources (LUANAR) Secondary Partner Institutions: The Lincoln University Region, Country: Malawi Performance Period: April 5, 2011 – May 30, 2014 Funding Level: Associate Award: $1,385,806 and Subaward: $1,140,000 Proposed Cost Share: $322,204 Table of Contents 1. Executive Summary .................................................................................................. 5 2. Partnership
    [Show full text]
  • FEWS NET Malawi Enhanced Market Analysis September 2018
    FEWS NET Malawi Enhanced Market Analysis 2018 MALAWI ENHANCED MARKET ANALYSIS SEPTEMBER 2018 This publication was produced for review by the United States Agency for International Development. It was prepared by Chemonics International Inc. for the Famine Early Warning Systems Network (FEWS NET), contract number AID-OAA-I-12-00006. The authors’Famine views Early expressed Warning inSystem this publications Network do not necessarily reflect the views of the 1 United States Agency for International Development or the United States government. FEWS NET Malawi Enhanced Market Analysis 2018 About FEWS NET Created in response to the 1984 famines in East and West Africa, the Famine Early Warning Systems Network (FEWS NET) provides early warning and integrated, forward-looking analysis of the many factors that contribute to food insecurity. FEWS NET aims to inform decision makers and contribute to their emergency response planning; support partners in conducting early warning analysis and forecasting; and provide technical assistance to partner-led initiatives. To learn more about the FEWS NET project, please visit www.fews.net. Disclaimer This publication was prepared under the United States Agency for International Development Famine Early Warning Systems Network (FEWS NET) Indefinite Quantity Contract, AID-OAA-I-12-00006. The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States government. Acknowledgements FEWS NET gratefully acknowledges the network of partners in Malawi who contributed their time, analysis, and data to make this report possible. Recommended Citation FEWS NET. 2018. Malawi Enhanced Market Analysis. Washington, DC: FEWS NET.
    [Show full text]
  • NBS Bank Was Incorporated As a Limited Company on 14Th March 2003 and Was Registered Under the Banking Act 1989 on 1St March 2004
    www.nbsmw.com Pg 2 Chitipa Kayelekela Karonga Northern Region La ke Malaw i Expect Rumphi Mzuzu more Raiply Nkhata Bay ease and convenience Mzuzu Mzimba Mzuzu Branch Luwawa from a bank that’s Mzuni - Bank @ Campus in your area. Dwangwa Nkhota Kota Branch Network ua Kasungu B Central Region “We seek to add new Mchinji Mponela Ntchisi delivery channels to meet an Salima increasing customer base.” Lilongwe Monkey Bay Lilongwe Capital City Branch Kanengo Agency Dedza Mangochi Lilongwe Branch Southern Region Bunda College Balaka Bank @ Campus Ntcheu Crossroads Agency Liwonde KIA Agency Riverside Agency Neno Zomba Zomba Zomba Branch ire Sh Bank @ Campus - Catholic University - Chancellor College Bank @ Campus Blantyre Blantyre Limbe Branch Nchalo Chichiri Mall Agency Thyolo Ginnery Corner Mulanje Branch Blantyre Branch Halie Selassie Road Branch Chiwembe Turn-off Agency Expect more ease and convenience Contents from a bank that’s 6 Corporate Profile in your area. 7 NBS Directors 8 Chairman’s Report 10 Chief Executive Officer’s Report 11 NBS Senior Management 12 Corporate Social Responsibility 15 Annual Financial Statements 72 Shareholding Statistics “We seek to add new products and services to our range to meet a broadening array of our customer needs.” Pg 3 Pg 4 Vision To be the Bank of choice in Malawi. Mission We undertake to add value to all our stakeholders by offering an innovative range of banking products through efficient business processes and empowered and caring staff. Values Integrity, Care, Quality Service, Health and Safety, Ethical
    [Show full text]
  • PLACE REPORT Malawi September 2018
    PLACE REPORT Malawi September 2018 Table of Contents Table of Contents 2 List of Figures And Tables 7 1. EXECUTIVE SUMMARY 10 1.1 Background and Objectives ............................................................................................................................ 10 1.2 Funding and Districts ...................................................................................................................................... 10 1.3 Methods ............................................................................................................................................................. 11 1.4 Results ............................................................................................................................................................... 13 1.4.1 Over 3500 Community Informants Identified Venues 13 1.4.2 Bars were the most common type of venue reported 13 1.4.3 Over 4000 Venues were Visited and Found to be Operational 13 1.4.4 Venue Type Differed by District 13 1.4.5 Key Populations Visit Venues 14 1.4.6 Female Sex Workers Live Onsite at Some Venues 14 1.4.7 Availability of Prevention Services at Venues 14 1.4.8 2,635 FSW Interviewed 15 1.4.9 Many FSW use cell phones but do not meet partners online 15 1.4.10 Receptive anal sex among women 15 1.4.11. Injecting drug use 15 1.4. 12. FSW who lived at the venue had more sexual partners 16 1.4.13 Among FSW: Self-Reported HIV Infection and ART 16 1.4.14 Access to services 17 1.4.15 638 MSM Interviewed 17 1.4.16 Frequency of Cell Phone and Social Media Use by MSM 17 1.4.17 Many MSM Report Sex with Women 17 1.4.18 MSM: Self-Reported HIV Infection and ART 18 1.4.20 PLACE I: Zomba Special Study: Viral Suppression among FSW & MSM 19 1.4.21 Results Size Estimates: FSW 19 1.4.22 Results Size Estimates: MSM 20 2 2.
    [Show full text]
  • (0) 1 875 298. Email: [email protected] Website: We Continue to Ensure That Our Customers Receive Services of the Highest Standards
    Tel +265 (0) 1 876 222 / 231. Fax +265 (0) 1 875 298. Email: [email protected] Website: www.nbsmw.com We continue to ensure that our customers receive services of the highest standards. NBS Bank Annual Report 2006 Our vision: To be the Bank of choice in Malawi. Our mission: We undertake to add value to our stakeholders by offering an innovative range of banking products through efficient business processes and empowered and caring staff. Our values: Integrity, Care, Quality Service, Health and Safety, Ethical Standards, Transparency and Good Corporate Governance. Contents: 1 Background 3 Chairmans report 6 Board of Directors 7 Chief Executive Officer’s report 9 Senior Management 10 Corporate Governance 11 Branch Network 12 Social responsibility 13 Financial highlights 15 Financial statements Contact details: NBS Bank, Head Office, NBS House, Cnr. Chipembere Highway/ Johnstone Road, P.O. Box 32251, Chichiri, Blantyre 3, Malawi. Telephone: +265 (0) 1 876 222. Fax: +265 (0) 1 876 041. Email: [email protected]. Web: www.nbsmw.com 1 Banking together. Growing together. Stronger everyday. background NBS Bank was incorporated as Commonwealth Century Building mortgage business to financial a Limited Liability company on Society and First Building Society. institutions registered under the 14th March 2003 and registered It got incorporated under the Banking Act. under the Banking Act on the 1st Building Societies Act on 7th March 2004. It started its February 1964. Since then the The Society however, could not commercial banking operations Society continued to operate under offer products traditionally on 1st July 2004, when the New the Act and raised funds from the marketed by banks.
    [Show full text]
  • Download File
    MALAWI FLOODS SITUATION REPORT MALAWI Humanitarian Situation Report Flood affected learners at Sekeni School camp just after completing their first Primary School Leaving Certificate examination paper, @UNICEF Malawi/2019/ 21 May 2019 Situation in Numbers Highlights • The number of displacement sites continues to decrease as Internally Displaced People (IDPs) return to their places of origin while others resettle in newly identified land. 868, 900 people affected by the cyclone and floods • With UNICEF’s support to flood-affected districts, 29,668 children (17,051 boys; 18,621 girls) from 43 schools can now continue to go to school. UNICEF is providing teaching and learning materials and Over 219,195 technical support. children targeted for assistance by • A total of 56,041 people in 28 displacement sites in eight flood UNICEF affected districts have been provided with sanitation facilities with support from UNICEF. • In the reporting period, 53,922 beneficiaries in 90 displacement sites were reached with lifesaving health interventions through a mobile 30 clinic strategy bringing the total number of beneficiaries reached so cases of cholera reported in total with no far to 198,672. mortality in 2019 • Malawi registered nine new cholera cases during the period of April 29 to May 12, 2019, bringing the total number of cases registered in the year 2019 to 30. Summary of UNICEF’s response with partners UNICEF CLUSTER UNICEF UNICEF % of UNICEF UNICEF % of (as of end 2019 Total target 2019 Total target March Target Results Target Results 2019)
    [Show full text]