(MSH) Management Sciences for Health



The Challenge TB is USAID’s five year mechanism contributing to the global targets of TB



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 USAIDs 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:


I.      Improve patient-centered quality care and services for TB II.         Sustain and enhance systems.

III.      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, Herar, 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:


1.   Strengthening leadership and management for TB control focus on provincial level


2.   Increasing TB case notification and improving quality of care


3.   Strengthening health system to minimize the existing gap in TB case notification


4.   Implementing TB infection control to reduce risk of TB infection at health care facilities


5.   Strengthening monitoring & evaluation and operational research


MOPH/NTP with Financial and technical support of Challenge TB would like to implements CB DOTS in Paktia province. The objective of the project is to improve and strengthen the Community Based DOTS activity in community level through:

·    Increase case detection, especially in early stage

·     Providing efficient, accessible and equitable health care services in Paktia province.

·    Ensure access to communities, and to provide TB services closer to patients home.

This approach encompasses awareness raising activities, such as community events e.g. school and bazaar events, dissemination of IEC materials, displaying billboards and airing tuberculosis messages through local media, aiming increasing demand, training of community

health workers, to identify  presumptive Tuberculosis cases, referrals and DOT (treatment)

provision, Proper recording and reporting activities and to document evidences.