About (MSH) Management Sciences for Health:
The Challenge TB is USAID’s five year mechanism contributing to the global targets of TB control.
An international coalition of organizations recently started implementing the new USAID five years TB project 'Challenge TB' to accelerate the global fight against tuberculosis (TB).
The coalition consists of the organizations that currently carry out USAID's Challenge TB project Management Sciences for Health (MSH) , American Thoracic Society (ATS); FHI 360; International Union Against Tuberculosis and Lung Disease (The Union); Japan Anti-Tuberculosis Association (JATA); KNCV Tuberculosis Foundation; and WHO Stop TB Department), and two new partners (PATH and IRD).
Challenge TB runs from 1st January 2015 until September, 2019 in Afghanistan and will align with the WHO post-2015 Global TB Strategy and the new United States Government TB Strategy to enhance focus on improving patient-centered quality TB services, building local capacity and the utilization of innovations and new technologies to move forward in the global fight against TB.
Challenge TB will have three main objectives:
Improve patient-centered quality care and services for TB
Sustain and enhance systems.
Transmission and disease prevention
Challenge TB project will support implementation of TB activities in BPHS/EPHS, tertiary and private health facilities in the following 15 provinces: Kabul, Balkh, Herat, Kandahar, Nangarhar, Badakhshan, Takhar, Baghlan, Jawzjan, Faryab, Paktia, Paktika, Ghazni, Bamyan and Khost. As per USAID Afghanistan recommendation, Challenge TB project will expand its support to other provinces. However, some of the interventions will cover the whole country, for instance, TBIS database with equipment for database maintenance and its training, TB IEC materials, national guidelines, TBIS procedure manuals, SOPs for TB IC, DOTS package distribution and distribution of diagnostic, treatment and training packages.
Challenge TB will support NTP to improve the quality of DOTS in the existing health facilities. In addition, DOTS will be expanded to public and private health facilities in the 15 provinces.
The following intervention areas will be focused during Challenge TB project implementation:
Strengthening leadership and management for TB control focus on provincial level
Increasing TB case notification and improving quality of care
Strengthening health system to minimize the existing gap in TB case notification
Implementing TB infection control to reduce risk of TB infection at health care facilities
Strengthening monitoring & evaluation and operational research