Pradip Thakali
HERD

Major Service Delivery Area:
1. PPM/ISTC/Patient Charter:
2. TB/HIV
3. ACSM
4.
Practical Approach to Lung Health (PAL)
5. Research / Operational Research
6. Technical support : especially programme guideline, training material development and conduction of central level meeting of NTC

SN SDAs
1 PAL
2 TBHIV
(Programme – SDA Wise)
Name of the Districts
Kathmandu, Lalitpur, Bhaktapur, Sarlahi and Dhanusa
(5 Districts)
Kathmandu,Chitwan, Makwanpur,Parsa, Bara, Sarlahi,
Dhanusa and Nuwakot (8 Districts)
3 PPM KTM (KTM &Kritipur), LTP, BKT (BKT &Madhyapur),
Chitwan, Parsa, Bara,Sarlahi, Dhanusa, Kavre (Banepa
& Dhulikhel) (11 municipalities of 9 districts)
4 ACSM KTM, LTP, BKT, Dhading, Chitwan, Makwanpur, Parsa,
Bara, Rautahat, Mahottari, Sarlahi, Dhanusa,
Kavre,Sindhupalchock, Dolakha, Ramechap and
Nuwakot (17 Districts)

NSA Phase-2 Y- 1 SDA wise Activities
1
4
5
2
3
SN
HSS/PAL
TB HIV
PPM ISTC
ACSM
Research
Total
SDAs
4/11/2020
No. of activities
13
32
28
35
2
110
5

NSA Phase-2 Y 1 SDA wise Districts
4
5
6
2
3
1
SN SDAs
PAL, PPM, TBHIV,ACSM
PAL, PPM, ACSM
PPM, TBHIV, ACSM
TBHIV, ACSM
PPM, ACSM
ACSM
4/11/2020
Name of districts
KTM, Sarlahi , Dhanusa (3)
Lalitpur, Bhaktapur (2)
Chitwan, Parsa, Bara (3)
Makwanpur, Nuwakot (2)
Kavre (1)
Sindhupalchock, Dolakha,
Ramechhap, Dhading, Rautahat,
Mahottari (6)
6

4/11/2020
NSA Phase-2 Y 1 SDA wise Activities
5
6
3
4
7
8
9
1
2
SN Name of Districts
KTM
Lalitpur
Bhaktapur
Chitwan
Makwanpur
Parsa
Bara
Rautahat
Mahottari
Total Number of activities
10
6
5
6
7
6
7
4
4
7

Cont………NSA Phase-2 Y 1 SDA wise Activities
10
11
12
13
14
15
16
4/11/2020
SN Name of Districts
Sarlahi
Dhanusa
Nuwakot
Kavre
Sindhupalchock
Dolakha
Ramechap
Total Number of activities
3
3
8
6
3
8
8
8

Around 60 DOTS centers in Kathmandu Valley Urban area

Key publications: training tools and guidelines

Key publications - IEC

1. Delay in receiving NSA Phase-2 Year-1 activities
2. Inadequate activities as compared to total assigned districts.
3. Printing process of guidelines is lengthy as well as soft copies are not in place.
4. Delay in PAL logistic supply for implementation
5. Lacking supply of forms and formats to the concerned DOTS and VCT centres to run TB HIV collaborative programme (e.g. cross referral form,
Register etc.)
6. Inadequate monitoring and follow up programme especially in newly initiated district.
7. Measuring PPM contribution in TB control in absence of routine recording and reporting

• The collaboration with VCT centre of
GENETUP ; to carry out intensified HIV case finding amongst TB patients . As a result of this activity, 10 (7 Male 3 Female,1.1%))
TB patients out of 883 were HIV screening positive . This result shows that there are presence of TB HIV co infection; the patients those who are under DOTS. The free screening saved TB patients time, money as well as they have been aware on their disease status.

Thank You