- Working with the National Department of Health, provinces, districts, and other stakeholders to develop and implement strategic interventions that address the threats of TB, TB/HIV, and drug resistant TB;
- Jointly reviewing and update clinical and programmatic guidelines for TB, TB/HIV, and drug-resistant TB;
- Reviewing laboratory systems at all levels of intervention, by conducting needs assessments, mapping TB microscopy diagnostic centers countrywide, and addressing laboratory challenges;
- Continuing efforts to strengthen the six components of the expanded STOP TB strategy;
- Conducting operational research on programmatic aspects of the project jointly with institutional partners.
TB South Africa Project is working to increase the availability and accessibility of TB Services by:
- Providing need-based trainings for health care staff at all levels of the system on basic TB management; TB/HIV, including the national 5I’s (international 3I’s + integration and initiation of antiretroviral therapy, or ART) and prompt provision of antiretrovirals (ART) for co-infected patients; programmatic and clinical management of drug-resistant(DR) TB; laboratory diagnosis of TB and DR TB; and advocacy, communication, and social mobilization (ACSM) activities;
- Providing and facilitating implementation of TB/HIV health care services from provincial to facility levels as per WHO recommendations and through innovative models;
- Assisting provinces and districts in implementing the national strategy for decentralization of DR TB management;
- Expanding the available DOTS system in high burdened rural, urban and peri-urban communities.
- Promoting and participating in the implementation of the national ACSM policy through TV and radio public service announcements for national events (i.e., World AIDS and TB days), local activities (e.g., community dialogues, Kick TB campaign), and distribution of materials (e.g., pamphlets, posters, lap desks with TB messages for school children);
- Disbursing grants to and building the capacity of nongovernmental and community/faith-based organizations to expand community-based TB, TB/HIV, and multi-drug-resistant (MDR)/extreme drug-resistant, (XDR) TB management.
TB South Africa Project is assisting in the improvement of TB program management at all levels of intervention by:
- Conducting data verification exercises and ongoing interaction with relevant counterparts;
- Jointly analyzing reports and linking them to facility case management;
- Strengthening facility-based TB information systems through regular data quality audits;
- Improving supportive supervision and surveillance through trainings;
- Strengthening linkages between health facilities and laboratory networks.
TB South Africa Project is identifying new approaches to expand DOTS coverage in South Africa by:
- Supporting the expansion of rapid molecular testing methods (mainly XPert MTB/Rif®) as provided in the national strategy;
- Identifying and supporting TB and TB/HIV public-private mix strategies and interventions;
- Disseminating the use of geographic information system (GIS) technologies to map laboratories, health facilities, treatment supporters and households for better TB control including DR TB.