47045-TCD-T-MOH-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Strengthening Prevention and patient-centered Integrated Care in order to end tuberculosis in Chad - Chad (01-Apr-2019-31-Dec-2021)</narrative> Chad, Tuberculosis, Ministry of Public Health Goals: Reduce mortality rate for tuberculosis from 31 deaths per 100,000 inhabitants in 2016 to 23.3 deaths per 100,000 inhabitants in 2022; Reduce the incidence of tuberculosis from 153 NC/100,000 inhabitants in 2016 to 132 NC/100,000 habitants by 2022; Secure universal access for the population to quality, global, integrated and continuous healthcare centred on the person with a view to making an effective contribution to the socio-economic development of the country. Objectives: Ensure prevention and integrated, patient-centred care by expanding and decentralising diagnosis and treatment services; Ensure universal health cover by making available suitable resources to treat/prevent tuberculosis and by improving cooperation with communities, state organisations and private and public healthcare partners; Promote research and innovations; Reinforcer the national health information system (gradual implementation of DHIS2) and the monitoring and follow-up/assessment system for activities to inform appropriate decisions to meet the challenges of public health growth in Chad; Maternal, neonatal and infant mortality linked to HIV to be reduced by 50% by 2022. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health Ministry of Public Health The Global Fund to Fight AIDS, Tuberculosis and Malaria The Global Fund to Fight AIDS, Tuberculosis and Malaria Communications +41 58 791 1700 website@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland The Global Fund to Fight AIDS, Tuberculosis and Malaria Grant Management Division Marie Jn Baptiste Fund Portfolio Manager +41 58 791 1700 marie.jnbaptiste@theglobalfund.org https://www.theglobalfund.org The Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland Chad Tuberculosis Multicomponent, RSSH Ensure healthy lives and promote well-being for all at all ages End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases Achieve universal health coverage Multicomponent -> Program management -> Coordination and management of national disease control programs Multicomponent -> Program management -> Grant management Multicomponent -> Program management -> Other program management intervention(s) RSSH -> RSSH: Health management information systems and M&E -> Analysis, evaluations, reviews and transparency RSSH -> RSSH: Health management information systems and M&E -> Routine reporting Tuberculosis -> MDR-TB -> Case detection and diagnosis (MDR-TB) Tuberculosis -> MDR-TB -> Treatment (MDR-TB) Tuberculosis -> TB care and prevention -> Case detection and diagnosis (TB care and prevention) Tuberculosis -> TB care and prevention -> Community TB care delivery Tuberculosis -> TB care and prevention -> Key populations (TB care and prevention) - Others Tuberculosis -> TB care and prevention -> Key populations (TB care and prevention) - Prisoners Tuberculosis -> TB care and prevention -> Other TB care and prevention intervention(s) Tuberculosis -> TB care and prevention -> Treatment (TB care and prevention) Tuberculosis -> TB/HIV -> TB/HIV - Collaborative interventions 106232.60 1940189.26 2769992.24 24969.14 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 2377706.92 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 117661.80 Global Fund disbursement to TCD-T-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 1047861.52 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 25540.05 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 25540.05 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -24969.14 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -570.91 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 470191.90 Global Fund disbursement to TCD-T-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 316518.39 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -425473.31 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 471473.39 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 471473.39 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 25653.69 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 1236118.75 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 186886.41 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 1049232.34 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 11229.44 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 653155.73 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 266364.92 Global Fund disbursement to TCD-T-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 32633.92 Funds returned to the Global Fund from TCD-T-MOHP01 (Other 3rd Party). Ministry of Public Health The Global Fund to Fight AIDS, Tuberculosis and Malaria -32633.92 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 11694.64 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 10306.77 Global Fund disbursement to TCD-T-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 23945.12 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 5462.29 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 11.87 Global Fund disbursement to TCD-T-MOHP01 (Pooled Procurement Mechanism). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 25223.04 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -1708.56 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -910.80 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 7651.94 Funds returned to the Global Fund from TCD-T-MOHP01 (Other 3rd Party). Ministry of Public Health The Global Fund to Fight AIDS, Tuberculosis and Malaria -369633.88 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 376173.15 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -7651.94 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 370590.51 Global Fund disbursement to TCD-T-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 24117.66 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 5714.42 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -5582.64 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 5714.42 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 9759.41 Funds returned to the Global Fund from TCD-T-MOHP01 (Other 3rd Party). Ministry of Public Health The Global Fund to Fight AIDS, Tuberculosis and Malaria -9759.41 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 106.95 Funds returned to the Global Fund from TCD-T-MOHP01 (Other 3rd Party). Ministry of Public Health The Global Fund to Fight AIDS, Tuberculosis and Malaria -106.95 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 242341.50 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 27373.09 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 88350.30 Global Fund disbursement to TCD-T-MOHP01 (Government). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 6308.62 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health -126618.11 Global Fund commitment to TCD-T-MOHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 6308.62 Global Fund disbursement to TCD-T-MOHP01 (Other 3rd Party). The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Public Health 131771.96 Expenditure reported by Ministry of Public Health for TCD-T-MOHP01, Apr 2019 to Dec 2019. Ministry of Public Health 1886690.60 Expenditure reported by Ministry of Public Health for TCD-T-MOHP01, Jan 2020 to Dec 2020. Ministry of Public Health 1297648.17 Expenditure reported by Ministry of Public Health for TCD-T-MOHP01, Jan 2021 to Dec 2021. Ministry of Public Health 1052625.67 Expenditure reported by Ministry of Public Health for TCD-T-MOHP01, Jan 2022 to Jun 2022. Ministry of Public Health <narrative>Grant page on the data explorer of the Global Fund.</narrative> An overview of a grant over its lifetime. <narrative>Grant terms and conditions.</narrative> General terms and conditions which apply to Global Fund grants. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Module: MDR-TB. <narrative>Number of TB cases with RR-TB and/or MDR-TB notified</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Module: MDR-TB. <narrative>Number of cases with RR-TB and/or MDR-TB that began second-line treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 48. Numerator: 44. Numerator: 44. Numerator: 4. Numerator: 4. Numerator: 9. Numerator: 9. Numerator: 39. Numerator: 39. Numerator: 48. Numerator: 48. Numerator: 41.4. Numerator: 29. Numerator: 41.4. Numerator: 28. Numerator: 66.5. Numerator: 19. Numerator: 66.5. Numerator: 58. Numerator: 88. Numerator: 55. Numerator: 55. Numerator: 0. Numerator: 17. Numerator: 38. Numerator: 55. Numerator: 177. Numerator: 127. Numerator: 89. Numerator: 72. Numerator: 71; Denominator: 72; Percentage: 98.61%. Numerator: 1; Denominator: 72; Percentage: 1.39%. Numerator: 22; Denominator: 72; Percentage: 30.56%. Numerator: 50; Denominator: 72; Percentage: 69.44%. Numerator: 72; Denominator: 72; Percentage: 100%. <narrative>Percentage of HMIS or other routine reporting units submitting timely reports according to national guidelines</narrative> Module: RSSH: Health management information systems and M&E. <narrative>Percentage of HMIS or other routine reporting units submitting timely reports according to national guidelines</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 21; Denominator: 23. Numerator: 102; Denominator: 102. Numerator: 76.5; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 96; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 99; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 102; Denominator: 106. Numerator: 204; Denominator: 204. Numerator: 211; Denominator: 220. Numerator: 102; Denominator: 102. Numerator: 106; Denominator: 110. Numerator: 102; Denominator: 102. Numerator: 105; Denominator: 110. <narrative>Percentage of health facilities with essential medicines and life-saving commodities in stock</narrative> Module: RSSH: Health products management systems. <narrative>Percentage of health facilities with essential medicines and life-saving commodities in stock</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 23; Denominator: 23. Numerator: 102; Denominator: 102. Numerator: 95; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 93; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 96; Denominator: 100. Numerator: 102; Denominator: 102. Numerator: 106; Denominator: 106. Numerator: 102; Denominator: 102. Numerator: 110; Denominator: 110. Numerator: 204; Denominator: 204. Numerator: 220; Denominator: 220. Numerator: 102; Denominator: 102. Numerator: 110; Denominator: 110. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Module: TB care and prevention. <narrative>Number of notified cases of all forms of TB (i.e. bacteriologically confirmed + clinically diagnosed), new and relapse cases</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 11774. Numerator: 10949; Denominator: 21586; Percentage: 50.72%. Numerator: 10949; Denominator: 21586; Percentage: 50.72%. Numerator: 825; Denominator: 2414; Percentage: 34.18%. Numerator: 825; Denominator: 2414; Percentage: 34.18%. Numerator: 4732; Denominator: 11774; Percentage: 40.19%. Numerator: 4732; Denominator: 11774; Percentage: 40.19%. Numerator: 3902. Numerator: 3902. Numerator: 7872. Numerator: 7872. Numerator: 6774. Numerator: 7198. Numerator: 6774. Numerator: 6421. Numerator: 8753. Numerator: 6420. Numerator: 8753. Numerator: 6389. Numerator: 9630.25. Numerator: 6606. Numerator: 6178. Numerator: 428. Numerator: 3720. Numerator: 2152. Numerator: 4454. Numerator: 19260.6. Numerator: 13713. Numerator: 9630.25. Numerator: 7107. Numerator: 6653; Denominator: 7107; Percentage: 93.61%. Numerator: 454; Denominator: 7107; Percentage: 6.39%. Numerator: 4304; Denominator: 7107; Percentage: 60.56%. Numerator: 2262; Denominator: 7107; Percentage: 31.83%. Numerator: 4845; Denominator: 7107; Percentage: 68.17%. <narrative>Treatment success rate- all forms: Percentage of TB cases, all forms, bacteriologically confirmed plus clinically diagnosed, successfully treated (cured plus treatment completed) among all TB cases registered for treatment during a specified period, new and relapse cases</narrative> Module: TB care and prevention. <narrative>Treatment success rate- all forms: Percentage of TB cases, all forms, bacteriologically confirmed plus clinically diagnosed, successfully treated (cured plus treatment completed) among all TB cases registered for treatment during a specified period, new and relapse cases</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 8180; Denominator: 11077. Numerator: 5466.77; Denominator: 6431.5. Numerator: 4745; Denominator: 6167. Numerator: 5466.77; Denominator: 6431.5. Numerator: 5469; Denominator: 6911. Numerator: 5960.99; Denominator: 6773.85. Numerator: 5882; Denominator: 7212. Numerator: 5960.99; Denominator: 6773.85. Numerator: 5051; Denominator: 6421. Numerator: 15930; Denominator: 17505.6. Numerator: 10363; Denominator: 12809. Numerator: 7965; Denominator: 8752.75. Numerator: 5055; Denominator: 6420. Numerator: 7965; Denominator: 8752.75. Numerator: 5308; Denominator: 6389. <narrative>Percentage of HIV-positive new and relapse TB patients on ART during TB treatment</narrative> Module: TB/HIV. <narrative>Percentage of HIV-positive new and relapse TB patients on ART during TB treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1223; Denominator: 1572. Numerator: 875.2; Denominator: 1029.65. Numerator: 865; Denominator: 908. Numerator: 875.2; Denominator: 1029.65. Numerator: 760; Denominator: 786. Numerator: 1276.19; Denominator: 1417.99. Numerator: 647; Denominator: 663. Numerator: 1276.24; Denominator: 1418.04. Numerator: 684; Denominator: 688. Numerator: 2955; Denominator: 3110.6. Numerator: 1563; Denominator: 1574. Numerator: 1477.52; Denominator: 1555.29. Numerator: 804; Denominator: 813. Numerator: 1477.52; Denominator: 1555.29. Numerator: 759; Denominator: 761. <narrative>Percentage of people living with HIV initiated on ART who are screened for TB in HIV treatment settings</narrative> Module: TB/HIV. <narrative>Percentage of people living with HIV initiated on ART who are screened for TB in HIV treatment settings</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 10887; Denominator: 51868; Percentage: 20.99%. Numerator: 20413; Denominator: 34020.5; Percentage: 60%. Numerator: 11064; Denominator: 65489. Numerator: 20413; Denominator: 34020.5; Percentage: 60%. Numerator: 13285; Denominator: 69322; Percentage: 19.2%. Numerator: 28018; Denominator: 37357.5; Percentage: 75%. Numerator: 13504; Denominator: 72573; Percentage: 18.6%. Numerator: 28018; Denominator: 37357.5; Percentage: 75%. Numerator: 17985; Denominator: 77017; Percentage: 23.4%. Numerator: 73252; Denominator: 81390; Percentage: 90%. Numerator: 46500; Denominator: 163813; Percentage: 28.4%. Numerator: 36626; Denominator: 40695; Percentage: 90%. Numerator: 24398; Denominator: 80021; Percentage: 30.5%. Numerator: 36626; Denominator: 40695; Percentage: 90%. Numerator: 22102; Denominator: 83792; Percentage: 26.4%. <narrative>Percentage of people living with HIV newly enrolled in HIV care started on TB preventive therapy</narrative> Module: TB/HIV. <narrative>Percentage of people living with HIV newly enrolled in HIV care started on TB preventive therapy</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1151; Denominator: 10282. Numerator: 624; Denominator: 5940. Numerator: 1147; Denominator: 5940. Numerator: 624; Denominator: 5940. Numerator: 3582; Denominator: 5709. Numerator: 921; Denominator: 5940. Numerator: 983; Denominator: 5133. Numerator: 921; Denominator: 5940. Numerator: 1050; Denominator: 5152. Numerator: 2436; Denominator: 11880. Numerator: 2383; Denominator: 10191. Numerator: 1218; Denominator: 5940. Numerator: 1510; Denominator: 4792. Numerator: 1218; Denominator: 5940. Numerator: 873; Denominator: 5399. <narrative>Percentage of registered new and relapse TB patients with documented HIV status</narrative> Module: TB/HIV. <narrative>Percentage of registered new and relapse TB patients with documented HIV status</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 8492; Denominator: 12128. Numerator: 5419.2; Denominator: 6774. Numerator: 5090; Denominator: 7198. Numerator: 5419.2; Denominator: 6774. Numerator: 4339; Denominator: 6421. Numerator: 7877.7; Denominator: 8753. Numerator: 4129; Denominator: 6420. Numerator: 7878; Denominator: 8753. Numerator: 4657; Denominator: 6389. Numerator: 9148.74; Denominator: 9630.25. Numerator: 5149; Denominator: 6606. Numerator: 18297.4; Denominator: 19260.6. Numerator: 11149; Denominator: 13713. Numerator: 9148.74; Denominator: 9630.25. Numerator: 6000; Denominator: 7107.