In 2015, USAID TB CARE II project began an initiative to address TB in miners in the Southern African Region. The overall objective is to improve detection and management of TB and other co-morbidities among the mine workers and their families. This would also help to control the spread of TB and reduce new incidences of TB.
Lesotho is classified by WHO as a high burden HIV country – 72% of TB patients were HIV positive in 2014. While uptake of CPT among TB/HIV co-infected patients was high (100%), only 74% of HIV-positive TB patients were on ART. The Ministry of Health and Social Welfare in Lesotho is working to reduce TB/HIV related morbidity and mortality through the provision of integrated, comprehensive TB/HIV services and strengthening roll-out of rapid molecular testing (GeneXpert) TB diagnostics.
Fighting drug resistant TB requires expertise and innovation. TB CARE II is tackling this need by working with TB policy makers and implementers to develop a network of experts and resources to strengthen national and regional drug resistant TB programs.
Building from the expertise available through Partners In Health Technical Assistance Centers (TAC) in Lesotho, Russia and Peru (through PIH sister organization Socios En Salud), TB CARE II is working to support the development of TACs so we can share experiences to build effective PMDT worldwide. To read more about the TACs, please click here.