Supplying integrated community support interventions for active case finding and improved treatment adherence of TB caseload

The project ”Supplying integrated community support interventions for active case finding and improved treatment adherence of TB caseload” is grounded in measures included in the National TB Control Strategy in Romania 2015-2020 and is founded on relevant international experience that has proved that ensuring positive treatment results requires the implementation of patient-centered care strategies.


Our project, aligned with the national strategy, envisages field-based directly observed therapy (DOT) administered by support personnel (community health workers - DOT supporters), providing social support mechanisms and increasing patients’ treatment adherence by means of incentives, identification of persons at risk (TB suspects) and their referral to the TB dispensary for testing.


Implementation period: April 1, 2015 – December 31, 2017

 

Funding agency: The Global Fund to Fight AIDS, Tuberculosis and Malaria

 

Principal recipient: Fundatia Romanian Angel Appeal

 

Implementing agency: Fundația Centrul penttru Politici și Servicii de Sănătate

 

Budget: 764.802 EUR

 

The goal of the project is to contribute to diminishing TB incidence and mortality in Romania by means of improving diagnosis, treatment and prevention with special focus on certain key populations.

 

Project objectives

  • Intensify TB active case finding in 6 counties in Romania (Argeș, Constanța, Dolj, Maramureș, Neamț and Bucharest Municipality) by referring 15,000 suspects for testing and identification of 1,400 TB patients by 2017;
  • Improving TB case treatment adherence in the 6 counties in Romania by increasing the percentage of patients benefitting from DOT from 40% (in 2013) to 70% by 2017.

Main project activities

  • Identification and training of community health workers (DOT supporters)
  • Identification and referral of TB suspects to medical services of diagnosis and treatment (TB dispensary)
  • Ensuring field-based directly observed therapy (DOT) for ambulatory patients
  • Project management-related activities.

 

Expected results

  • Referral for testing of minimum 15,000 suspects by the end of the project and identification of 1,400 TB patients over the project duration
  • Improvement of adherence to treatment of TB caseload in 6 counties in Romania by means of increasing the percentage of patients benefitting from DOT from 40% (in 2013) to 70% by 2017
  • Field-based directly observed therapy (DOT) for 3,500 patients over the lifetime of the project in the 6 counties where the project is being implemented.

 

Obtained results (periodic updates)

  • We will post details during the course of project implementation.