SUNCH Organization

05/10/2019

14/06/2019

The (FACTB) PROJECT

1. Studies in different parts of the world show that Majority of presumptive TBpatients visit the private sector prior to public sector health facility,

2. The private health facilities had limited ability to diagnose and treat TB

3. Only 10% of registered private health facilities officially provide the full range of
TB services

4. Not all TB cases diagnosed and put on treatment in the private sector arenotified to the NTLP system while others may diagnose but not treatInadequate clear understanding that children also suffer from TB

5. There are delays in start of treatment especially in drug shops, pharmacies and
traditional healers.

6. Majority do not have access to NTLP guidelines and tools and did not receive
support from the NTLP

7. There are significant missed opportunities to harmonize diagnostic equipment
across public and private sectors

8. The undetected TB cases in these communities will not be reached unless the
capacity of the private health sector that is in closest proximity to this population
is built to find, diagnose and treat TB

9. Limited TB services provision across the entire health facility care cascade
and Weak referral and linkage mechanisms

10. One of the biggest challenges in the private sector is to access quality anti-TB
medicines for the patients diagnosed

11. The diagnosis of TB in children remained a big challenge for the majority of
private providers.

12. The majority of service providers in the private sector operating in Most ofPHFs are nurses with limited capacity to diagnose complicated TB cases.

13. Limited access to new diagnostic tools in the private sector contributing todelays in diagnosis.
SUNCH ORGANIZATION IS COMMITTED To Improve the capacity of PHFs to Provide Childhood TBServices including SARs for Effective Diagnosis and Treatment

13/06/2019

(FACTB) Project
FIND AND TREAT CHILD TB PROJECT

1. TB in children is often missed or overlooked due to non-specific symptoms and difficulties indiagnosis

2. This has made it difficult to assess the actual magnitude of the childhood TB epidemic, which may be higher than currently estimated

3. Tanzania is among the 22 countries in the world with high tuberculosis burden and its ranks sixth in Africa with case notification reaching 65,902 in 2016

4. According to the Tanzania (NTLP) Annual Report 2016, the proportion of childhood TB
cases reported were only 10% among children under age of 15 years

5. This is considerably lower compared to other high burden countries that WHO has
estimated almost 15% – 20% of notified TB cases are likely to be children

6. This demonstrates a huge treatment gap of 15% – 20% equivalent to (9,885-13,180) of
children with TB are not reported and treated in Tanzania

7. Getting sputum samples from a patient suspected of having TB to the laboratory is a
significant challenge Consequently, many people remain undiagnosed and untreated

8. Many patients are unwilling to brave the long waits at the underfunded and understaffed
national hospital

9. As a result, an unknown number of children with tuberculosis simply go untreated, often until it is too late.

Therefore (SUNCH) Organization is committed To Increase Access to Childhood TB Screening, Assessment and Referral of the Child TB Suspect to Nearby PHFs for
Effective diagnosis and Treatment.

11/06/2019

FACT TB Project
(Find and Treat Child TB) Project

1. The poor knowledge about Child TB have been acknowledged as a fact in many
communities

2. Lack of skills and knowledge among the health workers in the private health facilities to
detect and manage TB in children is still a problem

3. Correct understanding for the community about the childhood TBManagement is still lacking

4. The clear understanding that children also suffer from TB is very limited

5. The stigmatizing attitudes and behaviors of the community members towards the childhood TB is at critical

SUNCH Organization is committed To Promote Public Awareness of the Significance of ChildhoodTB Management and SARs of the Child TB Suspect to nearbyPHFs for Early Case Finding, Diagnosis and Effective Treatment.

11/06/2019

WASH IN SCHOOL AT CRITICAL

Schools are severely underserved by WASH Services; -

WASH in Schools mapping Report in Tanzania in 16 districts informs that only 11% of the schools met government standards for the number of latrines, 9% of latrines were clean, 54% of schools had a functioning water
supply and only 1% had soap for hand washing.

However the UNICEF Fact sheet (2017) report that, 46% schools lack a functioning water supply, 84%lack any hand washing facilities and 96% lack sanitary facilities for children
with disabilities and 52% do not have doors on toilets to ensure privacy for girls.

Lack of safe potable water, basic sanitation and hygiene in schoolsadversely affects performance and continuity in schoolchildren. About 1 in 10 school age African girls do not attend school during menstruation ordrop out at puberty because of the lack of clean and private sanitation facilities in schools.

(SUNCH) Organization Is Committed To Improve Sustainable Access to Adequate Safe Water, Sanitation and Hygienic Practices in Schools

10/06/2019

STATUS OF NUTRITION IN SCHOOL'S

1. Most of school age children are likely to eat less food or food that is not nutritional

2. There is a Lack of nutritional knowledge amongst the school aged children and public;

3.There is Lack of micro nutrients such as iodine, iron, vitamin A, and vitamin C can cause serious health problems for children
in later life

4. Low Awareness of Exclusive Breastfeeding for future mothers is a critical issue

5. About 58% of infant under-six months do not receive exclusive breastfeeding and Only 42% of infants under-six months receive exclusive breastfeeding

6. Providing this education to the School Adolescent who is future mothers could help to boost the coverage and helpto save about 800,000lives of the infants and young children.

7. According to TDHS and SMART Survey Stunting on the other hand has reduced form 42% to 34% Wasting from5% to 4% and underweight from 16% to 14%.

8. There has been no progress in reducing chronic malnourished children; In 2010 when PR of stunting was 42% the number of children who were stunted stood at 3.1 Million, when PR decline to 34.7% in 2015 the number rose to 3.3 million.

9. Coverage of vitamin A supplementation among children aged 6months to 5 years decreased from 72 to 41% between2014 and 2015

10. There are wide disparities in access to minimum dietary diversity amongst children aged 6-23months) which accounts
for 39% in urban and 21% in rural areas with 49% in richest households and 15% in poorest households

SUNCH Organization is committed To Increase Access to and Use of Nutrition Services amongschool age children to reduce malnutrition

09/06/2019

Low Coverage of ART Treatment to Children with HIV; -

About 1.4 million people are currently HIV-Infected whom appropriately
10% are children below the age of 15 years.

However 5% of all adolescents
living with HIV worldwide are in Tanzania which account for 98,000
adolescents living with HIV.

The treatment of the children under five
already affected with HIV Remains to be low in Tanzania.

Around 7 out of10 HIV-Positive children do not receive needed treatment.

Only 48% of the HIV-Positive children are getting ART a gap that demands urgent attention.

(SUNCH) Organization is committed To Increase Access to TB & HIV/AIDS Screening and Effective Treatment among School Aged Children

02/06/2019

DO YOU KNOW ??????

An estimated 239,000 children die every year from tuberculosis (TB). Children with TB rarely die when they receive standard treatment for the disease, but 90 percent of children who die from TB worldwide went untreated.

We must end the silent epidemic of child TB.