Tb nepal : Mission Agayia MDR TB Center
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Transcript of Tb nepal : Mission Agayia MDR TB Center
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Dr. Sushil KoiralaDirector
TB Nepal, Nepalgunj
TB Nepal : Mission Agaiya TB Center
TB Nepal: Introduction
• Established 2060 (2003 AD)• Worked on TB and HIV.• Managed and run MDR TB
(Multidrug resistant TB) Hostel.• DOTS and Sputum Smear
microscopy • Providing OPD services for TB/
MDR TB, TB-HIV co-infection and Leprosy patients.
• Inpatient services for TB/MDR TB patients
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TB Nepal: Introduction• 26 bed Inpatient service to
TB/MDR TB patients.• 10 beds for leprosy patients
opening soon• 3,000 OPD visits/month on TB
Clinic in average• 170 OPD visits/month on
Leprosy clinic in average• 17,000 sputum smear
microscopy per year.• Referral centre for TB/MDR TB
for Mid-western region of Nepal.
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Mission : Agaiya TB
Center
Multi-purpose centre with specialized services for TB/MDR TB.
75 beds for care and support for MDR/XDR TB patients.
25 beds for TB/MDR TB complication management : Inpatient service.
4 beds for Primary Health Care services.
Isolation ward for any epidemic like Bird flu, swine flu, Ebola
First aid management/ Trauma centre services.
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Proposed TB Centre complex
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Why Mission Agaiya TB Center
• Current MDR TB Hostels supported by Global fund will phase out from mid- July 2015.
• MDR TB Services/ DOTS plus not available in every districts/ health facilities
• Need for care and support home for MDR/XDR TB patients, specially poor, vulnerable and from faraway districts
• Ideal location, building and land already available
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Cost/ Benefit
• Estimated cost: NRs 67,44000 for renovation
• 3 months for renovation and to begin services
• Population to be benefitted by PHC services : 80,000
• Largest TB facility in Nepal• Reduces other administrative, rental
costs of MDR TB Hostels• Helps to solve the problem of MDR
TB Hostels
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- Modern Day sanatorium - Strategic location
- Multi-purpose centre - Good environment - Infra-structure
A little far from Nepalgunj (57km)
- Provide MDR TB services as a centre of Excellence- National TB Centre: positive about this initiative Provide primary healthcare services and trauma management
Sustainability and funding
SWOT
S W
O T
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Thanks