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UNDP'S PARTNERSHIP WITH THE GLOBAL FUND : Supporting implementation, developing capacity
Background/Overview At the beginning of 2010 the HIV program had satisfied the criteria to play the role as principal recipient and the UNDP thus transferred that role to the National AIDS and STI Control Programme (NACP) at the Ministry of Health & Social Welfare. Similar arrangements have been concluded for the Malaria and Tuberculosis Programs. UNDP has worked with sub-recipients to provide prompt and effective treatment of malaria in the general population; prevent malaria in pregnant women and children under 5 years; and strengthen the managerial capacity of the National Malaria Control Program through human resource development and improved working environment. The organization also worked to increase access to high quality DOTS; establish the management and treatment of Multi Drug Resistant Tuberculosis (MDR-TB); expand effective TB and Human Immunodeficiency Virus (HIV) collaborating mechanism by increasing access to integrated TB/HIV services; empower the community and people living with TB by increased and sustained Advocacy, Communication and Social Mobilization (ACSM) activities in all 15 counties ; and strengthen the health system by: (i) building the capacity of the decentralized drug storage and distribution system; (ii) strengthening the capacity of central supervision, monitoring, evaluation and research; (iii) improving the managerial and technical capacity of health care staff through training at all levels; and (iv) building the capacity of central and county health promotion units to improve ASCM. Activities/Results The Global Fund approved, in its Round 7, a grant of US$9,574,165.00 to support the national TB control strategic plan with the objective of reducing the burden of TB on the population of Liberia. The TB grant was implemented over a period of 3 years, from June 2008 to May 2011, with a closure period from June 2011 to December 2011. The grant established a total of 153 microscopy centers in public health facilities throughout the country. The Drug Sensitivity Testing (DST) Laboratory is established and fully equipped. A total of 381 DOTS centers have been created in the private and public sector, including in 4 prisons. A total of 3,500 TB patients received food supplement supplied by WFP as part of the agreement concluded with UNDP. The project procured several microscopes and provided consistent supply of laboratory consumables to support detection and treatment. As a result, treatment success has increased to 86% at the close of the grant. Laboratory consumables serve to support the co-infection TB/HIV. A very good collaboration is now maintained between NLTCP and NACP for the management of integrated TB/HIV activities. In almost all the DOTS Centers, TB patients are tested for HIV; in the HIV Counseling and Testing centers also, patients are screened for TB. Each quarter, the NLTCP produced IEC/BCC materials for dissemination in the health facilities and among the general population, with the objective of raising awareness on TB. Community-based education and social mobilization were also regularly conducted, at central and district levels. Overall, the country owns 11 county drugs depots serving 13 countries – Montserrado and Margibi counties are supplied by the central NDS warehouse. Drug Depot Focal Persons (DDFP) and depot assistants recruited under the Global Fund grants received training in supply management, together with the county pharmacists and eligible County Health Team personnel. Training was also provided to middle level health professionals and health workers to improve quality of services. One International Public Health Specialist was recruited to provide technical assistance to the TB Program and has immensely contributed to the progress achieved by the TB grant. The Annual Risk of Infection (ARI) survey initially planned under the TB grant was replaced by the TB desk review, in consultation with WHO and Clinton Health Initiative, because the country context was found not to be adequate for such a survey, due to lack of reliable baseline after the war. A TB desk review and a TB/HIV sero-surveillance survey were conducted by international consultant recruited with WHO support. The MDR survey planned under the grant was not also conducted due to delays in the establishment of the DST laboratory. Latest News:
Relevant Documents: UNDP'S PARTNERSHIP WITH THE GLOBAL FUND : Supporting implementation, developing capacity LIST OF PROJECTS UNDER UNDP THEMATIC AREA - HIV & AIDS 2011 LIST OF PROJECTS UNDER UNDP THEMATIC AREA - HIV & AIDS
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