Objectives

WDF20-1782 intends to strengthen the management of TB-diabetes comorbidity at the primary care level in four provinces (three of which were also included in the completed project WDF12-745). This project will focus on supporting the development of a national guideline and training of staff in the rollout of the guideline.

The project will also initiate the first phase of diabetes screening of the TB patients in selected high-volume health-facilities and provide community-based care to the diabetes/TB patients.

Approach

• Development of National Operational Guidelines for TB-Diabetes collaborative service-delivery package; incl. integration of guidelines on diabetes-TB management developed by The Union and WDF.
• Capacity building through training of all MoH provincial TB-advisors and TB programme managers in the use of the guidelines; training of HCPs at targeted health facilities in the guidelines; training of community care givers in TB-diabetes co-morbidity management.
• Rollout of first phase TB-diabetes collaborative service-delivery package incl. diabetes screening of TB patients and co-morbidity management.
• Data collection and monitoring system (incl. baseline and endline survey) as integral part of MoH National TB Programme health information system.

Expected results

• 16 primary health care units engaged in the rollout
• 11 TB-advisors and 11 TB programme managers trained
• 357 health professionals trained in the guidelines
• 145 community care givers trained
• 14,500 TB patients screened for diabetes
• 1,100 cases of TB-diabetes co-morbidity detected