ATSIMO-ANDREFANA REGION, MADAGASCAR – BERLIN
TB NETWORK

Slide Gruppenfoto Madagaskar Slide GIZ1 Slide Lab photos 22 Slide Nadia Collection 20

Slide Gruppenfoto Madagaskar Slide GIZ1 Slide Lab photos 22 Slide Nadia Collection 20

PARTNERSHIPS

PARTNERSHIP BETWEEN:

Charité-Universitätsmedizin Berlin
Medical Department
Department of Infectious Diseases and Respiratory Medicine / Germany

&

National TB Programme in Madagascar, the University of Toliara and the NGO Doctors for Madagascar / Madagascar

Digitalisation supports implementation of national tuberculosis strategy in 22 health centres across Madagascar

Tuberculosis (TB) is still one of the top 10 causes of death worldwide. Over 95% of TB deaths occur in low- and middle-income countries (LMIC). Increased resistance to available medicine by the bacteria that cause TB has worsened the situation.

MORE ABOUT MADAGASCAR

  • Situated off the southeast coast of Africa, Madagascar is the fourth largest island in the world with a population of 25 million on an area of 587,041 sq. km.
  • Having developed in isolation, the island nation is famed for its unique wildlife. Traditionally, the Malagasy economy has been based on the cultivation of paddy rice, coffee, vanilla and cloves.
  • Despite a wealth of natural resources and a tourism industry driven by its unique environment, the country remains one of the world’s poorest, and is heavily dependent on foreign aid.
  • Life expectancy at birth in Madagascar is 65 (m) / 68 (f) years.
  • The probability of dying before the age of five wasat 54 for 1,000 births in 2016

 

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All countries have developed national TB strategies and related annual workplans based on WHO recommendations and have established centres for diagnosis and treatment, including in remote rural areas. However, effective planning of treatment for TB patients is only possible if reliable and continuously collected data is available at all levels of diagnosis and care.

The lack of data makes it difficult to effectively plan treatment for TB patients. Improving the quality of data collection and the speed of data exchange leads to a lower infection rate, improved care and fewer deaths, and brings us closer to a TB-free world.

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In Madagascar, many people still suffer from TB. In the year 2018, that number was over 61,000. This is despite the government’s “National Tuberculosis and Leprosy Programme”, which follows WHO’s recommendations. Centres for diagnosis and treatment of TB patients have been established, including in rural areas, and offer free care.

One major handicap is the lack of reliable data for the planning of prevention activities and care for TB patients. Regular reporting of activities and patient outcome data is paper-based, which is slow, error-prone and can lead to incorrect or missing data.

Charité Universitätsmedizin Berlin, together with the National TB Programme in Madagascar, the University of Toliara and the NGO Doctors for Madagascar have joined forces to address this problem in one of the poorest regions of the country. The activities focus on 22 TB diagnosis and treatment centres in the Atsimo-Andrefana region of Madagascar, where the situation is especially challenging. 

Addressing gender inequality

The project partners are committed to addressing gender inequality, noting for instance the relatively low proportion of women working in TB care, especially in rural Madagascar. The partnership addresses this situation by promoting the training of female health workers for TB care.

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eHEALTH

Our eHealth Contribution

The partners will digitise the essential processes of TB care monitoring in this remote rural area, with an app called eTB that enables data entry via a tablet or mobile phone and its digital submission to regional authorities. This will enhance data quality and exchange, improving disease surveillance and the accuracy of information shared at the national level. The digitisation extends to financial processes, including supply chain management and transfer of funds to local TB care centres. This ensures the availability of resources needed to run the activities of the health facilities.

Health workers at the respective centres will receive capacity development on data collection, epidemiology,  and use of digital tools through online courses, face-to-face programmes, and exchange with German partners. To allow scaling up of the approach and the participation of other parts of the island nation, partners will develop a course curriculum for basic epidemiological knowledge, an operations manual, and standard operating procedures. Since the digital solution is based on mTOMADY, an end-to-end platform already introduced in Madagascar that ensures secure data exchange and allows for health-related payments to be made using a mobile phone,  this combination makes scaling up feasible. The Ministry of Health can anticipate improved TB surveillance, data collection, and better health for the population of the whole island.

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Charité – Universitätsmedizin Berlin / Germany

Charité – Universitätsmedizin Berlin , a corporation under public law and a legal entity, is one of the largest university hospitals in Europe. It represents the medical faculty of both Humboldt University Berlin and Free University Berlin, and is a corporate member of the Berlin Institute of Health. Clinical care, research and teaching are delivered by physicians and researchers of the highest international standard. Charité stands for modern medical training in Germany with high scientific standards and combines care, responsibility, respect and entrepreneurship in university medicine. Charité proudly lays claim to more than half of all German Nobel Prize winners in Physiology or Medicine, including Emil von Behring, Robert Koch, and Paul Ehrlich.

Contact:

Nadine Muller, MD
Charité Universitätsmedizin Berlin
Department of Infectious Diseases and Respiratory Medicine at Charité
Charitéplatz 1
10117 Berlin
nadine.muller@charite.de

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The University of Toliara / Madagascar

The University Hospital and Medical Faculty of Toliara is the referral hospital for the project region Atsimo-Andrefana and is closely associated with the regional reference centre for tuberculosis. The University and TB centre work together with the District Hospital Ampanihy-Ouest, which is also part of the partnership.

Doctors for Madagascar (DFM) / Madagascar

DFM is an NGO and the partner organisation of  “Ärzte für Madagaskar” registered in Madagascar. The organisation has 48 employees, of which 17 work in the project region in Madagascar. DFM works closely with the Ministry of Health and is one of the partners responsible for the day-to-day implementation.

Contact:

Doctors for Madagascar
Près II Y 53bis, Rue Dr Rabenoro
Andrainarivo Antananarivo
Madagaskar

MORE INFORMATION

ABOUT

Charité–Universitätsmedizin Berlin / Germany

Charité – Universitätsmedizin Berlin , a corporation under public law and a legal entity, is one of the largest university hospitals in Europe. It represents the medical faculty of both Humboldt University Berlin and Free University Berlin, and is a corporate member of the Berlin Institute of Health. Clinical care, research and teaching are delivered by physicians and researchers of the highest international standard. Charité stands for modern medical training in Germany with high scientific standards and combines care, responsibility, respect and entrepreneurship in university medicine. Charité proudly lays claim to more than half of all German Nobel Prize winners in Physiology or Medicine, including Emil von Behring, Robert Koch, and Paul Ehrlich.

Contact:

Nadine Muller, MD
Charité Universitätsmedizin Berlin
Department of Infectious Diseases and Respiratory Medicine at Charité
Charitéplatz 1
10117 Berlin
nadine.muller@charite.de

 

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The University of Toliara / Madagascar

The University Hospital and Medical Faculty of Toliara is the referral hospital for the project region Atsimo-Andrefana and is closely associated with the regional reference centre for tuberculosis. The University and TB centre work together with the District Hospital Ampanihy-Ouest, which is also part of the partnership.

Doctors for Madagascar (DFM) / Madagascar

DFM is an NGO and the partner organisation of  “Ärzte für Madagaskar” registered in Madagascar. The organisation has 48 employees, of which 17 work in the project region in Madagascar. DFM works closely with the Ministry of Health and is one of the partners responsible for the day-to-day implementation.

Contact:

Doctors for Madagascar
Près II Y 53bis, Rue Dr Rabenoro
Andrainarivo Antananarivo
Madagaskar

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