Projects
Projects
Overview
Nepal is challenged by remotely dispersed populations in the hill districts and crowded migrant populations in plain (Terai) region. The mountainous topography has consequently made health services hard to reach for the majority of the hill residing population. In Terai, significant numbers of people live in slums which are often densely populated, have poor sanitation and high prevalence of TB. These challenges have heavily impacted the tuberculosis elimination effort causing delay in diagnosis, poor diagnosis and treatment, increasing cases of MDR patients and inadequate follow up of patients.
BNMT Nepal’s TB REACH Wave -5 project involved active TB case finding in hard to reach communities with the mobilization of the network of Female Community Health Volunteers using three major strategies i.e. contact tracing; microscopic camps; and GeneXpert installation in four Nick Simons Institute (NSI) supported district government hospitals.
The essence of the project was to diagnose and cure the missing, unreported cases by increasing the service accessibility in high risk disadvantaged communities through direct screening, early diagnosis and support to the affected people with the necessary counselling, care and support for treatment adherence. The project started in July 2016 and ended in Dec 2018.
Integrated with the National TB Program, the project was executed in close coordination with the Ministry of Health and Population (MoHP) and district stakeholders with the partnership of NSI. The project successfully identified 1092 new cases.
Target Groups and Beneficiaries
Total Population Coverage: 24, 16, 073
Beneficiaries: Presumptive TB and DR TB cases, people with TB and their close contacts, migrants, factory workers, hard to reach population and health care professionals
Project Location
Partners Involved
Funded by
Success Stories
A dedicated effort to save a life!
Ram (name changed), worked in Kathmandu. In 2016, he returned to his hometown, a remote village in Gulmi district, to visit his parents and three brothers. He was coughing for over two weeks and constantly losing weight, so his mother took him to a nearby health post, however, they had...
Shamsher Thapa Case Study
Shamsher Thapa (name changed), 45, resident of Pyuthan, was diagnosed with tuberculosis on February 7, 2018 through GeneXpert. Narayani KC, FCHV and one of the volunteers of TB REACH, thought Thapa might be suffering from tuberculosis during her contact tracing process. Mr Thapa and his wife were diagnosed with HIV...
Tireless effort by volunteers in identifying missing TB cases and their treatment
Shreedhar Khadka, an 83 year old residing in Chhatradev Rural Municipality, was diagnosed with tuberculosis by TB REACH project’s staff. Our volunteers came to know that Mr. Khadka was ill and was losing weight since a long time. When our volunteers visited his home another day to collect his sputum,...News
Dissemination of TB REACH Wave 5: Scale up of Active Case Finding Model in Nepal Project
On 28th December, 2018 BNMT Nepal organized a one-day dissemination of lessons learned program with the objective of sharing the experiences gained from the project,‘Scale up of Active Case Finding Model in Nepal’. The program was conducted with active presence of PME Chief of National Tuberculosis Center, Chief of Provincial Health...
Monitoring and Evaluation visits to TB REACH Wave 5 districts
From 19th June to 27th June 2018, our Executive Director, Mr. Suman Chandra Gurung along with a team from central and regional offices visited TB REACH Wave 5 districts for conducting Planning and Review Workshop and monitoring and evaluation of project activities. Planning and Review Workshop was conducted in regional office, Nepalgunj...
TB Programme Review meeting with NTC
On 13th December, 2017 BNMT Nepal organized a TB programme review meeting with NTC representatives. In the meeting, a comprehensive presentation on trimester progress update was made on the three tuberculosis projects of the organization namely National Tuberculosis Programme, IMPACT TB and TB REACH Wave 5. Distinguished guests from NTC, NTC...