TB CARE I - Djibouti Year 2 Quarterly Report October-December 2011

The program has achieved notable milestones, including the development of an algorithm for TB and MDR diagnosis and management using GeneXpert, and the introduction of new laboratory techniques such as TB culture, first-line DST, and Hain, in addition to LED microscopy. Technical Area 1, Universal and Early Access, has seen limited progress, with only 7% completion of the planned activities. The program has also faced challenges in conducting regular supervisions in the districts due to lack of financial resources. The NTP unit has been unable to conduct regular supervisions in the districts, with only one visit out of five conducted during the quarter. Technical Area 4, PMDT, has seen no progress, with 0% completion of the planned activities. The program has also faced challenges in implementing the new WHO guidelines, with the reliance on DST for treating retreatment cases and the establishment of an MDR standard regimen. Technical Area 6, Health Systems Strengthening, has seen some progress, with 15% completion of the planned activities. The program has also conducted a one-week training on M&E and the recording and reporting system, with the participation of DOTS personnel and doctors. Technical Area 7, M&E, OR and Surveillance, has seen no progress, with 0% completion of the planned activities. The program has also faced challenges in implementing the new WHO guidelines, with the reliance on DST for treating retreatment cases and the establishment of an MDR standard regimen. The program has also faced challenges in implementing the new WHO guidelines, with the reliance on DST for treating retreatment cases and the establishment of an MDR standard regimen. The program has also conducted a one-week training on M&E and the recording and reporting system, with the participation of DOTS personnel and doctors. Technical Area 8, Drug supply and management, has seen significant progress, with 50% completion of the planned activities. The program has also conducted a one-week training on M&E and the recording and reporting system, with the participation of DOTS personnel and doctors. Technical Area 1, Universal and Early Access, has seen limited progress, with only 0% completion of the planned activities. The program has also faced challenges in conducting regular supervisions in the districts due to lack of financial resources. The program has also faced challenges in implementing the new WHO guidelines, with the reliance on DST for treating retreatment cases and the establishment of an MDR standard regimen. The program has also conducted