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| Project Name: | Expansion in the DOTS Strategy |
| Project Description: |
The Program seeks to expand the DOTS strategy (which is currently being implemented in six provinces) to all 22 provinces in Ecuador in order to reduce disease and mortality due to tuberculosis in Ecuador. In the six provinces where there is currently a DOTS program, the program will consolidate coverage through the inclusion of new providers, such as community based NGOs, the social security network and the armed forces. The Program also aims to strengthen the capacity for treatment and diagnosis of Multi-Drug Resistant Tuberculosis (MDR-TB) and to develop a DOTS-Plus pilot project for the handling of new MDR-TB cases.
Should the Proposal be fully funded through its 5-year term, it is expected that the DOTS strategy will be implemented in all of the country's geographic health areas. Over five years the program will reach all establishments managed by the Ministry of Health; in addition, it will aim to reach 1,500 additional health establishments managed by the social security, armed forces, police, rural social security service, prisons and NGOs working with indigenous communities. It is also expected that both the National HIV/AIDS and Tuberculosis Programs will have developed effective collaboration and that the knowledge and the capacity to deal with HIV/TB co-infection will be increased. |
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