TB CARE I-Nigeria (COP) Year 1 Quarterly Report July-September 2012

The program's overall work plan completion is 91% as of the end of the third quarter of 2012. The COP 11 funds, which spanned five quarters from April 2011 to June 2012, have been utilized, and the COP 12 work plan has been submitted to the US Mission for approval. The program's technical areas include Infection Control, PMDT, TB/HIV, Health Systems Strengthening, and M&E, OR, and Surveillance. Infection Control is the only technical area that has achieved 100% completion, with 92 facilities implementing infection control measures. However, challenges were encountered in training staff on infection control, as the initial training was limited to a few staff members, and the expanded training overstretched the budget. In PMDT, 85% of the work plan has been completed, with 33 staff members trained, including 20 males and 13 females. However, no MDR trainings were conducted in the third quarter due to funding constraints. In TB/HIV, 85% of the work plan has been completed, with 771 patients co-infected with TB and HIV receiving antiretroviral therapy (ART) services. The proportion of dually infected patients on ART increased to 55.2% in the third quarter. The program has also made significant progress in reducing the burden of HIV among TB patients. A total of 92 General Health Worker staff were trained on infection control, and 60,492 TB suspects were counseled for HIV. The HIV positivity rate among suspects was 13.4%, and 1,678 suspects tested positive for HIV. In addition, 18,699 TB patients were counseled for HIV, and 771 TB patients tested positive for HIV, with a positivity rate of 21%. The program has also strengthened health systems through infrastructure development and enhanced diagnostic services. A total of 96 DOTS clinics were renovated, and 149 DOTS clinics were renovated cumulatively. Funding for the activity ended in June, and the breakdown of the annual result data is as follows: GLRA (43), NLR (75), TLMN (20), and DFB (11). In addition, 48 lab equipment were functional, and 89 lab equipment were functional cumulatively. Funding for the activity ended in June, and the breakdown of the annual result data is as follows: GLRA (17), NLR (46), TLMN (16), and DFB (10). The program has also improved the quality of TB/HIV data, with 80% of sites reporting valid TB/HIV data in the third quarter. Data quality assessment took place in 6 states, and issues identified included data discrepancies, non-use of appropriate reporting materials, and inadequate supervision. The health facility staff were mentored on improving quality data, and the National Tuberculosis and Leprosy Control Programme (NTP) is working to harmonize the reports. The program's quarterly activity plan report highlights the outcomes of the program's activities, including the organization of 1-day infection control training at facility level, which was attended by 92 persons. The training covered the rationale for TB infection control in healthcare settings, different components to put in place for infection control, and the roles of different health workers in ensuring adherence to infection control plans.