About us

PROJECT OBJECTIVE

Project title

Strengthening Tuberculosis Control in Ukraine

Duration

April 2012-April 2017

Total estimated budget

$17.9 million

Prime contractor

Chemonics International Inc.

Partner organizations

Project HOPE, The New Jersey Medical School Global Tuberculosis Institute (GTBI)

Registered

by the Ministry of Economic Development of Ukraine

June 26, 2012

Registration card 2684

For more information, please, contact:

USAID Strengthening Tuberculosis Control in Ukraine project

14-A Ihorivska St.,

Kyiv 04655 Ukraine

Tel.: +380 44 425 47 47;+380 44 599 09 30;

Fax: +380 44 425 73 33         info@stbcu.com.ua

The goal of the Strengthening Tuberculosis Care in Ukraine (STbCU) project is to improve the health status of Ukrainians by decreasing the burden of TB through quality assurance and systems-strengthening measures for routine TB, MDR-TB, and TB/HIV co-infection services. This requires improving laboratory diagnostics of TB. building strong adherence to appropriate TB treatment regimens, implementing effective management of MDR-TB cases, creating an effective response to the growing rates of TB/HIV co-infection, and institutionalizing internationally-recognized best practices in infection control. Activities designed to strenghten the TB control system will be implemented at two levels. First, STbCU will work to increase the capacity of national and oblast institutions for supervise and plan the national TB contorl strategy. Second, STbCU will work to demonstrate best practices to healthcare providers at the primary healthcare level. The Project will systematically ensure the sustainable application of these practices in the Ukrainian context.

The Project will scale up replicable models of TB prevention and control in the following USAID-supported regions: Dnipropetrovsk oblast, Zaporizhzhia oblast, Kharkiv oblast, Kherson oblast, Kirovohrad oblast, Lviv oblast, Odesa oblast, and the city of Kyiv. This five-year project will improve quality of DOTS-based TB services, introduce new state-of-the-art technologies in laboratory diagnostics and infection control, improve patient adherence to treatment, and support a range of interventions to strengthen Ukraine's TB control system.

The Project's MAIN AREAS OF FOCUS:

1. Improve the quality and expand availability of WHO-recommended DOTS-based TB treatment services. To meet this objective, STbCU will focus on building institutional capacity to provide quality of DOTS-based programs in Ukrainian healthcare facilities, expanding access to TB services in order to improve the prevention, diagnosis, and treatment of TB, and conducting operations research to improve the overall performance of the National TB Program.

​Recent results (as of April, 2014):
  • 5,693 healthcare providers successfully completed project-organized educational events; many are applying best practices in TB detection, treatment and prevention at their workplace
  • 341 laboratories (out of 342 in USAID-supported regions) were covered by EQA in 2013
  • 297 of these laboratories perform TB microscopy with over 95% correct microscopy results

2. Create a safer healthcare environment in USAID-supported areas and at the national level. Project efforts will focus on strengthening infection control mechanisms and increasing the capacity of oblast-level Sanitary and Epidemiological Services (SES) to implement, monitor, and evaluate infection control interventions.

​​RECENT RESULTS (AS OF APRIL, 2014):

    • Ukraine’s State Sanitary and Epidemiology Service (SES) ​ changes its approach from punitive functions to monitoring and recommendations
    • National Infection Control Expert Panel provides facilities with evidence-based infection control (IC) support and mentoring, in addition to regular inspections
    • 34 medical facilities enacted significant IC improvements
    • Consultations by national and international TB IC specialists at Facebook: “Infection control in Ukraine” and by phone: 050 390 72 80

    3. Build capacity to implement programmatic management of drug-resistant TB (PMDT) programs for treating and preventing MDR-TB and XDR-TB in USAID-supported areas and at the national level. STbCU will provide healthcare professionals and administrators with training, mentoring, and supervision on WHO-based standards of MDR-TB case management.

    ​RECENT RESULTS (AS OF APRIL, 2014):

    • Improved cohort analysis; its results a better considered when taking decision
    • New MDR TB case management reporting forms were adopted by Ukraine’s Ministry of Health to improve data analysis and decision making by TB physicians.
    • In collaboration with the WHO, piloted TB drug-resistance survey (DRS):

    - adapted WHO protocol

    - provided recommendations for the First nation-wide DRS

    4. Improve access to TB/HIV co-infection services in USAID-supported areas and at the national level. The Project will work to identify gaps in TB/HIV co-infection services and build capacity to address them, ensure HIV testing and for TB patients and effective referral to HIV services for those who need it, and provide TB screening to HIV patients with referral to TB services for those who are suspected to have TB.

    ​RECENT RESULTS (AS OF APRIL, 2014):
    • GAP-analysis in partnership with GTBI
    • Three times increase in TB detection among PLWH due to Project-implemented screening questioner
    • TB/HIV case-management and referral database  improves intersectional cooperation and decision-making