CoE for Programmatic Management of Drug Resistant TB

Financed by USAID East Africa through TBCTA (TB CAP and now TB CARE I) with KNCV being the lead agency, the Regional Centre of Excellence (CoE) on Programmatic Management on Drugs Resistant Tuberculosis (PMDT) was established in Kigali, Rwanda in 2010 after a rigorous voting process that considered the capacity of the country to undertake a reference laboratory, training using an academic institution and a programmatic management held at RBC. The Training Centre is located at the School of Public Health of National University of Rwanda (SPH/NUR), while the National Tuberculosis Program (NTP) and National Reference Laboratory (NRL) of the Rwanda Biomedical Centre (RBC) provides trainings in relevant disciplines and hosts up-country field visits as the part of learning process. Those institutions constitute the three pillars which are bound by a memorandum of understanding for maximum cooperation in conducting activities of the CoE. The overall idea of the USAID support is to launch the process while later financial support will come from the business plan that all three pillars should provide as a mechanism of sustainability.

Our Vision

To be a pivotal centre in the elimination of Multi-Drug and Extreme Resistant Tuberculosis in the East African region

Our Mission

To provide opportunities to the involved countries to learn, share and exchange experiences on evidence based program management of drug resistant TB including quality assured laboratory practices and operational research.

The terms of reference for the CoE: are to provide trainings on PMDT, TB IC and laboratory services for all levels of (health) staff in the region including study site visits; assist countries to develop own CoE; Provide technical assistance in the Region; maintain and coordinate a “Regional Core Group of experts on PMDT” and coordinate peer reviews; contribute to develop regional operational standards and promote operational research.

The CoE has so far carried out seven (7) trainings; three (3) PMDT, two (2) TB infection control trainings (IC) and two (2) TB laboratory trainings. Ethiopia, Uganda NTLP have visited Rwanda to learn about PMDT. 144 DR-TB control experts from different countries have participated in the trainings and they are currently involved in PMDT implementation in their respective countries. (See details on figure 1 below)

Fig 1: Countries and Participants trained by CoE PMDT From 2010-2012

 

Country

PMDT

TB IC

LAB

Total

Rwanda

29

21

8

58

Kenya

5

2

2

9

Uganda

5

3

2

10

Tanzania

5

2

1

8

Ethiopia

6

4

1

11

Somalia

0

0

3

3

Malawi

3

1

1

5

Liberia

7

0

0

7

Burundi

4

1

1

6

Zambia

9

1

4

14

Zimbabwe

2

0

3

5

Nigeria

0

1

0

1

South Sudan

1

2

1

4

Botswana

2

0

1

3

Total

78

38

28

144

 

What Forward

Next year, four trainings are planned at CoE: TB IC, PMDT, TB/HIV and Laboratory. An Operation research too is planned for assessing the impact of Knowledge and skills in the Regional countries that participated in the CoE courses

In Pipeline

Clinical fellowship for Francophone speaking PMDT clinicians: our funder is requesting the pillar to lead francophone countries in PMDT. Medicals doctors from those countries in charge of PMDT travel to Rwanda and will be trained until they can manage PMDT in their respective countries after mentorship program within Rwanda.
The MoH, NTP and CoE are ready to give their support for this program.