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PROJECT REPORT-VII Project Title: Help People with MDR TB to Complete Treatment (15811) Reporting period: July’2015 to Sept’2015 Project is being implemented at North Delhi in India since 2008, with the coverage of approx. 0.5 million population. In this coverage area project providing free TB testing and TB treatment services to underserved population like as slums, migrants, semi urban and industrial area population. Project has its own five TB testing and treatment facilities (one facility caters 0.1 million population). Since 2008, project tested around 19000 TB symptomatic people and around 4000 people taken TB treatment from the project run facilities. By the end of the September’2015 about 640 TB infected (first line) people taking treatment, 44 people are taking MDR TB treatment and Six (6) people are taking XDR TB treatment from the project. Project is aimed to control spread of MDR TB through early case detection of the TB cases with screening of close contacts for TB, referring Cat-II cases for Culture/DST testing and providing treatment adherence counseling to all first line TB cases. During the reporting period project had screened 167 first line TB cases close contacts among them 20 people diagnosed with first line TB and 26 close contacts of the MDR TB cases tested among them one person diagnosed with MDR TB. Special attention is given to TB patients taking Category-II treatment for 8 months because they are more prone to MDR TB. In the reporting period about 02 persons taking TB treatment lost follow up to treatment and they are retrieved by the project successfully. Around 37 newly registered Category-II cases received treatment adherence counseling. About 78 sputum samples collected and transported for MDR TB test (Drug Susceptibility Test) in the reporting period for early diagnosis of MDR TB to arrest further spread of the drug resistant TB. Also project providing socio-psychological and medical related support to the MDR TB patients through MDR support group meetings, during the reporting period total 11 support group meetings were organized and addressed medical related issues mostly related to drug side effects. And also identified six TB infected people with poor health and economical conditions and then project providing basic nutritional support to them, three are from MDR TB, one from XDR TB, one from Cat-II and another one from Cat-I along with HIV infection. Due to limited resources project providing nutritional support to only six patients through Global Giving donations. In addition to this project also providing nutritional support to three more TB patients through local donors financial aid. Brief Update: (July’2015 to September’2015) S.No Process Indicators 1 Number of people with TB taking Cat 2 treatment received counselling about treatment adherence counselling to people taking Cat 2 treatment to prevent MDR TB infection during reporting period (head count) 2 Number of people with MDR TB taking treatment in the area received treatment adherence counselling by treatment Companion during reporting period (head count) Progress Update 37 46 3 Number of MDR Support Group meetings organised in the intervention area during reporting period 4 Number of people receiving nutritional support (monthly ) (2 MDR Intensive phase, 1 MDR Continuation phase, 1 XDR Continuation phase, 1 from Cat-II and 1 from Cat-I with HIV Co-infected) 5 Number of sputum samples collected and transported for Drug Susceptibility Test during reporting period 6 Number of close contacts of MDR TB cases tested for TB/MDR TB during reporting period 1 2 3 4 Outcome Indicators Number of people with TB and taking Cat 2 treatment have defaulted to treatment during reporting period Number of new MDR TB cases from the existing people with TB taking treatment (Cat 1 or cat 2) diagnosed with MDR TB Number of new MDR TB cases diagnosed (total 39 cases on treatment by the end of June’15 and 10 new cases added during the reporting period) Number of MDR TB cases completed intensive phases or completed treatment during this reporting period. 11 06 78 26 02 10 10 IP to CP-07 04 completed Treatment 5 Number of XDR TB cases diagnosed and registered for treatment during reporting period. Nutrition Support to MDR TB Patients MDR TB Patient counselling by the project staff 02