Support to the National Tuberculosis Program
Tuberculosis (TB) is one of the health priorities in Syria, with an estimated annual incidence of 18 new smear positive cases per 100,000. Each year 3,400 individuals develop active TB (smear positive TB). Of these new cases, only 1561 were detected and treated by the NTP , while 1839 were either not treated or inadequately treated by other health sectors. Low case detection (46%) is therefore the main challenge facing the National Tuberculosis Programme since 100% DOTS coverage was achieved and 88% of cases detected were successfully treated.
As in many other countries of the Region, TB continues to be a major communicable disease in Syria. The estimated prevalence of all TB forms in Syria was 51 per 100,000 in 2004 (Global TB report, WHO, 2006) , indicating that 9074TB cases (all forms) existed in the community in the same year. Low case detection is therefore the main challenge facing the National Control programme since 100% DOTS coverage was achieved and 88% of cases detected were successfully treated.
Therefore, the programme has achieved the global target of 85% treatment success rate (TSR) but is still far behind the case detection target of 70%. The National Tuberculosis Programme (NTP) adopted the internationally approved strategy to control TB, i.e. DOTS, in 1997 and the country achieved DOTS all over in the Ministry of Health (MOH) health facilities by 2000. During 2006 the NTP also adopted the global STOP TB strategy and the Millennium Development Goals (MDG). However, case detection remains low (46%) and improving it is the main challenge facing the NTP since 100% DOTS coverage was achieved and 86% of cases detected were successfully treated (2006 data).
Achievements and Expected Results
The goal of the project is to reduce TB burden in Syria particularly among the poor and vulnerable populations in line with the MDG and the Stop TB Partnership targets. In order to achieve the above goal, the Project will give a special emphasis on TB care for poor and vulnerable populations, and will address the five gaps identified in the overall needs assessment. The poor populations identified are those living in five northern governorates, and those living in the rural areas of 2 middle and 2 coastal governorates.
UNDP is the principle recipient of a grant from the Global Fund to support the National Tuberculosis Programme in Syria. The grant was awarded in November 2007; the main Goal of the grant is to reduce Tuberculosis burden in the country. The prevalence and incidence rates were reduced significantly the incidence rate has dropped down from 25 in 2007 to 18 per 100.000 in 2012, the detection rate has raisin from 46% in 2007 to 70% in 2012, the treatment success rate has reached the international standard of 88% in 2012. The number of Tuberculosis patients has dropped down from 7000 in 2005 to 3600 in 2012.
The application of DOTS for Tuberculosis treatment has significant impact on the number of Multi Drug Resistant TB cases. The grant has great impact on the management and control of Tuberculosis in Syria by building the capacity of the Ministry of Health and providing the technical expertise required for the management of Tuberculosis.
||Amount contributed per year
|2012||The Global Fund||$1,415,569.69697|
|2013||The Global Fund||$612,675.35
|2014||The Global Fund||$1,080,558.87|