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Daily Regimen for TB rolled out in Bihar

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Patna, February 15, 2017: The Bihar State TB Cell rolled out the Daily Regimen for Tuberculosis in the state today. The Revised National TB Control Programme (RNTCP) has introduced the daily drug regimen, which will be implemented in 104 districts in five states including Bihar, Himachal Pradesh, Sikkim, Maharashtra and Kerala in the first phase. Patients with drug-sensitive TB will now receive a daily dose instead of the previous alternate day regimen.

The launch event, organized by REACH (Resource Group for Education and Advocacy for Community Health) in collaboration with the State TB Cell, saw the participation of key government dignitaries. Shri Shashi Bhushan Kumar, I.A.S, Executive Director (NHM), State Health Society, Bihar graced the event as the Chief Guest. He administered the first dose for three TB patients at the launch, and spoke about the shift in regimen. “The new drugs would be available with all government as well as private providers. The officials should ensure proper implementation of the programme at the district and sub-district levels,” he said, requesting patients to adhere to the treatment and take their medicine daily till the treatment is complete.

Speaking on the occasion, Dr KN Sahai, State Program Officer (TB), Bihar TB Cell said that the roll out of the Daily Drug Regimen would ensure provision of the same medicines in the private and the public health sectors. “We are introducing this regimen so that there is no difference between private and government sector treatments and patients getting treated in the government sector do not feel that the medicines in the private sector are better,” said Dr Sahai. He also announced that provision of ‘family DOTS’ would be made in the state, which will give patients the choice to opt for a family member as their treatment supervisor. He added that district magistrates have been given the responsibility to launch the first phase of the project in their districts in order to create awareness about the new regimen.

Indira Gandhi Institute of Medical Sciences (IGIMS) will be supporting the implementation of the Daily Drug Regimen for TB in Bihar. Dr SK Shahi, HoD, Microbiology, IGIMS, outlined the role of the medical college in the roll out.

With over 1,300 deaths per day, TB continues to be a grave public health crisis in India. According to the Global TB Report, 2016, it is estimated that there are 2.8 million new (incidence) cases of TB. Bihar reports around 70,000 new cases of TB every year.

The programme was attended by representatives by REACH, World Health Partners, Innovators in Health, PSI, Project Axshya partners. Ms Bushra Azim, State IEC Officer, Bihar State TB Cell, was also present at the launch event held at IGIMS, Patna.

Call to Action for a TB-free Jharkhand launched

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Ranchi, 21 February: “TB is the oldest disease in the world and yet we haven’t been able to eradicate it. This is now the goal and vision of our Prime Minister, and I must congratulate all of you, on behalf of the Jharkhand government, for working towards making this possible,” said Shri Ramchandra Chandravanshi, Minister of Health, Medical Education and Family Welfare, Government of Jharkhand. He was speaking at the launch of the Tuberculosis (TB) Call to Action Project in the state, held in Ranchi earlier today. The TB Call to Action project is being implemented by REACH with support from the United States Agency for International Development (USAID).

With over 1,300 deaths per day, TB continues to be a grave public health crisis in India. TB Champions and Ambassadors can play a valuable role in improving awareness of the disease and dispelling myths and misconceptions. Ms Deepika Kumari, Arjuna award-winning archer and Padmashri recipient, announced that she would be a TB Ambassador for the state of Jharkhand. “I am happy to join the fight against TB in Jharkhand and to work with the TB Programme and REACH. The stigma associated with the disease affects everyone but especially women. There are so many stories of women with TB who have been thrown out of their families. We must stop isolating people with TB. I know that if all of us speak up to Stop TB, before the next Olympics in 2020, we will be closer to our dream of a TB-free Jharkhand and a TB-free India, she declared.

Shri Ram Tahal Chaudhary, Member of Parliament, Ranchi, called on all stakeholders, including other parliamentarians and elected corporators, to get involved in the fight against TB. “With unified efforts, we have made great progress in the field of public health and TB. Isolation, stigma and discrimination used to be a very grave problem in TB but now this has improved. Wherever my support and that of my peers is concerned, I offer my involvement”, he said.

Shri Sudhir Tripathi, IAS, Additional Chief Secretary, Government of Jharkhand, said, “I congratulate public spirited organisations like REACH for their hard work, thanks to which, elimination of TB is now on the antenna of such bodies and with time, we will reach our goal. Once we are inclusive in our approach, our outreach, leveraging all the available tools, then we will be able to offer a united thrust to be closer to our goal.”

Also gracing the occasion was Shri Rakesh Prasad, Deputy Chairman, Common Minimum Programme. Addressing the gathering, he said, “It is imperative to look at every point [of the 20-point programme] in an integrated manner, and this is where the role of this project, the TB Call to Action, by REACH, is instrumental. In the case of TB, the different relevant factors are health, sanitation, urban slums, development of backward areas, environment protection and afforestation.”

The event also saw the participation of Mr Mintoo Kumar Sinha, a TB survivor. “I have been working as a lab technician since 2010, and I got TB myself. I completed my six months treatment through DOTS and was cured completely. I urge everyone to complete their treatment and become TB-free.”, he said. Several TB Champions and survivors were recognized for their contribution to the fight against TB, including Sister Britto, Mr Faiz Anwer and Mr Murari Singh.

Other participants included Dr Rakesh Dayal, Nodal Officer, State TB Cell, Jharkhand who presented a status update on TB in the state and said, “We need the commitment of all stakeholders including corporates, community, patients, government, NGOs, etc, to counter this disease”.

“Through this project, REACH seeks to amplify and support India’s response to TB by involving previously unengaged stakeholders and broadening the conversation around the disease,” said Ms Smrity Kumar, Project Director of TB Call to Action, in her address.

The launch event was followed by a panel discussion to discuss the need for convergence for TB and the role of different ministries and departments in addressing the socio-economic impact of TB. The panelists included Mr Das, Secretary, Department of Welfare, GOJ; Dr Sumant Mishra, Director, Health Services; Mr Ashutosh Prasad, Additional Director - Mines; Dr Rakesh Dayal, Nodal Officer, State TB Cell; Mr Inderjeet Banerjee from Medanta and was moderated by Dr Ramya Ananthakrishnan, Executive Director, REACH.

The TB Call to Action Project is being implemented with support from USAID in Jharkhand, Odisha, Assam, Bihar and Rajasthan.

Applications Invited: Regional Capacity-Building Workshop for TB Survivors

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Last date to Apply: 20 February, 2017

THE OPPORTUNITY

Globally, there is growing recognition that the fight against TB must actively seek the participation of those most affected by the disease – individuals who have had TB and their families. It is their stories, their experiences, their voices that matter, that will resonate with communities, policymakers and governments and that can reduce stigma, accelerate investment in TB, advocate for a transition to patient-friendly approaches and raise the profile of TB.

This workshop is intended for those who have had TB or been directly affected by the disease and have a keen interest in building their capacity to be effective TB Advocates and Champions. The workshop will adopt inclusive, participatory approaches to learning and will focus on:

  • Building knowledge on different aspects of TB
  • Understanding the public and private health responses to TB including TB service delivery
  • Contextualising individual experiences within the national / regional/ global fight against TB
  • Developing key advocacy and communication skills to share personal experiences with different audiences

ELIGIBILITY CRITERIA

This workshop is open to TB survivors and those who have been directly affected by TB from the following countries:

  • India
  • Indonesia
  • Bangladesh
  • Philippines
  • Cambodia
  • Vietnam

An ideal applicant is:

  • A TB Survivor or someone who currently has TB
  • Alternatively, has been a care-giver to a close family member affected by TB.
  • Keen to openly share his/her experience of TB and become a TB advocate
  • Willing to participate in a six-month mentorship programme (if chosen)
  • Fluent in English, with both verbal and written communication skills

Women who meet the eligibility criteria are encouraged to apply.

Selection: All applications will be evaluated by a committee and shortlisted participants may be contacted for a telephonic/skype interview prior to selection.

Venue and funding support: The workshop will be conducted between 10-13 April in New Delhi, India. Selected participants will be provided with all support for travel, accommodation, visas and related expenses.

Application deadline: The last date for receiving applications is 20 February 2017.

The completed application form must be sent by email to tbcalltoaction.reach@gmail.com by this date.

For any clarifications, please contact REACH at the above email address.

You can download the application form here.

To download the flyer, click here.

TB Call to Action project launched in Odisha

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“Controlling tuberculosis remains one of India’s biggest health challenges and causes vast socio-economic losses. We have to ensure complete diagnosis and treatment for all TB patients and access to free services at their doorstep,” said Shri Pradip Kumar Amat, Hon’ble Cabinet Minister, Department of Health and Family Welfare, Government of Odisha, through a message released at the launch of TB Call to Action project in Bhubaneswar on December 17, 2016. The project is being implemented by REACH, an NGO dedicated to the fight against TB since 1999.

The launch event saw the participation of several key government dignitaries. Speaking on the occasion, Bhubaneswar North MLA Shri Priyadarshi Mishra shared stories of people affected by TB whom he had met in his constituency. Calling on all stakeholders, including other parliamentarians and elected corporators to join the fight against TB, he said, “I must congratulate REACH for coming here to eradicate TB in Odisha. Each of us, all stakeholders, play an important role to control TB in the state.”

With over 1,300 deaths per day, TB continues to be a grave public health crisis in India. In Odisha, the State TB Cell, as part of the Central TB Division’s Revised National Tuberculosis Control Programme, works with a three-point vision to ‘reach all, detect all and treat all’. Specifically, the Odisha government’s TB programme focuses on early detection among the vulnerable populations of the state. This effort requires a multi-sectoral approach, that brings together various stakeholders, from the national and state governments to partners – both public and private – in the fight against the disease.

Dr Kailash Chandra Dash, Director, Health Services, Department of Health and Family Welfare (DoHFW), Government of Odisha, Dr Jnanindra Kumar Tripathy, Director, Public Health, DoHFW, and Dr Sanjukta Sahoo, State TB Officer, addressed the gathering and spoke about the state’s programme to control TB.

The Resource Group for Education and Advocacy for Community Health (REACH) is currently implementing the Tuberculosis Call to Action (TBC2A) project with support from the United States Agency for International Development (USAID). Dr Amar Shah, Project Management Specialist (Tuberculosis Care and Control), USAID, said, “To accelerate progress towards ending TB, USAID is taking the momentum that is being generated at the national level to select states in India, where partners will employ targeted advocacy and outreach all the way to the district level. USAID and REACH will work hand-in-hand with the Odisha government, public health officials, private healthcare providers, corporate organisations, civil society, and most importantly, people who are directly affected by TB. We will work collectively with these stakeholders to amplify and support the state’s efforts in the fight against this disease.”

This project aims to transform the TB landscape in India by improving access to high quality services and reducing suffering and deaths. “It is a great honour and challenge for us to embark at the state level. We have been truly and warmly welcomed in Odisha by one and all, and we look forward to beginning our optimistic journey in this state. Through our efforts, we seek to amplify and support India’s response to TB by broadening the conversation around the disease and involving previously unengaged stakeholders, thereby raising the profile of TB at the national and state levels,” said Dr Nalini Krishnan, Director, REACH, in her address.

TB Call to Action Project launched in Bihar

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The Call to Action project was launched in Bodhgaya, Bihar on 29 September 2016 during the consultation on introduction to the universal access of TB daily regimen.

Speaking on the occasion, Shri Shashi Bhushan Kumar, Mission Director (National Health Mission), Bihar, said, “The launch of the Call to Action project by REACH will bring together the various stakeholders, integral to this fight, and broaden the conversation around this disease at the state level. The RNTCP was implemented throughout Bihar in the year 2006, in which intermittent (thrice a week) regimen was employed for treatment of drug-sensitive TB. This intermittent short-course chemotherapy regimen proved to be an effective and operationally feasible way of treatment under programmatic settings. But a significant proportion of TB patients managed by other sectors (private practitioners, NGOs, corporates, etc.,) are being treated on daily regimen. To bring parity in management of TB patients across all sectors and to address the threat of emergence of drug-resistant TB due to non-standard treatment practices, the Government of India has decided to introduce daily regimen for treatment of drug-sensitive TB under RNTCP. Bihar is one of the five states where daily regimen will be implemented initially.”

The consultative meeting was presided over by Dr Sunil D Khaparde, Deputy Director General (TB), Central TB Division, Ministry of Health and Family Welfare. Speaking on the occasion, Dr Khaparde said, “We want to reduce mortality and prevalence to such an extent that TB will not be such a major health issue anymore. I really appreciate this initiative, Call to Action, which will sensitize the various stakeholders — advocates, corporates, civil societies, media, parliamentarians, etc. I hope REACH will reach the vulnerable populations and the ‘missing million’”.

The meeting saw participation from various stakeholders, including representatives from the Central TB Division, the State TB Office, Bihar, as well as civil society leaders active in the fight against TB in the state.