USAID/Mexico Tuberculosis Program LAC PHN SOTA, March 2001.
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Transcript of USAID/Mexico Tuberculosis Program LAC PHN SOTA, March 2001.
Tuberculosis
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Cases/100,000
PAHO Health in the Americas, 1998
% TB Cases in LAC Presence Countries
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PAHO Health in the Americas, 1998
Infectious Diseases - Funding Compared to Need % LAC TB Cases compared to %2000-2001 TB funding
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USAID/MexicoTuberculosis Strategy
SO: A sustainable and effective institutional capacity developed to diagnose, control and monitor tuberculosis in target areas
IR1 Improved national and local political and administrative commitment to a tuberculosis control program
IR2 Increased use of laboratory-based diagnosis to identify tuberculosis cases
IR3 Improved directly observed therapy meeting strict case definitions
IR4 Improved mechanisms for monitoring program activities
Staffing andOther Support
USAID/Mexico: 1 full time USPSC, 1/2 FSN administrative assistant
SSA: 1 Tech. Project Coordinator, 1 Admin. Project Coord., 6 supervisors
USAID/W: LAC and Global Bureau technical backup, future global projects
USAID/ES: Technical, administrative, and legal support
USAID/Mexico Tuberculosis Strategy: Partners
Official Counterparts: Secretaría de Salud and USAID
Mexico partners: CVE, Mexico National TB Prev. and Control Program (including IMSS, IMSS-Solidaridad, and ISSSTE), INDRE, State Secretarías de Salud, NGOs
US partners: TATB, CDC, NGOs, Gorgas Institute, State Health Departments
Other donors: PAHO, Comité Nacional de Lucha contra la Tuberculosis
DIEZ CONTRA LA TUBERCULOSIS
TEN AGAINST TB
Baja California, Sonora, Chihuahua, Coahuila, Nuevo León and Tamaulipas
California, Arizona, New Mexico, Texas
Common Objectives
GOM HealthPromotion
Labs Epid.Surveillance
DiagnosisandTreatment
TATB HealthPromotion
Labs Epid.Surveillance
CaseManage-ment
USAID Commitment/HealthPromotion
Labs Epid.Surveillance
DiagnosisandTreatment
Tuberculosis Strategic Objective Grant Agreement
Signed August 21, 2000 by Mexico’s Secretary of Health and the US Ambassador to Mexico
Stipulates planned contribution of US and Mexican Governments through 2004
Obligates first tranche of funding ($3.7 million) Outlines program objectives, activities,
performance indicators, and standard provisions
Priority Areas
Baja California, Sonora, Chihuahua, Coahuila, Nuevo León and Tamaulipas
Chiapas, Jalisco, Veracruz, Michoacán, Guerrero, Oaxaca and San Luis Potosí
Phase I Activities
1) Development of educational campaign
2) Promotion of interinstitutional collaboration
3) Strengthening laboratory network
4) Operations research: eval. of program operation; sensitization of personnel and public; detection, diagnosis and treatment; specimen handling; studies of cases, contacts and deaths; information systems.
5) Development of National Tuberculosis Management Information System and Evaluation of Border Epidemiological surveillance systems
6) Management and operation of Program at national level
7) Supervision and impact evaluation
1) Priority municipalities
2) Laboratories performing sputum smear microscopy
3) Patients with respiratory symptoms to be identified
4) Expected cases of pulmonary tuberculosis
5) Contacts to be examined
6) Sputum smears to be processed
165
304
311,880
15,594
62,376
1’029,204
Tuberculosis Program in the 13 Priority States
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2000 2001 2002 2003 2004
Year
PromotionPromotionPromotionPromotion
TrainingTrainingTrainingTraining
SupervisionSupervisionSupervisionSupervision
ControlControl
Funding/Activities
SSA/USAID
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InfrastructureInfrastructure
DiagnosisDiagnosis
%
EvaluationEvaluation
U.S.-Mexico Binational Tuberculosis Card
43% of TB cases in the US are among the foreign-born (7553/ 17,531); and among the foreign-born, 23% of the cases are among the Mexican-born (1753/7553)
The U.S. Border States lead the nation in cases and incidence of TB
The six Mexican border states have TB case rates much higher than the U.S. border states
U.S.-Mexico Binational Tuberculosis Card
Collaboration between Mexico and the United States:– Ten Against TB– TB Net– Cure TB– The Binational Juntos Project – Migrant Health Core Group– USAID TB Program