TB Control in Khyber Pakhtunkhwa

Area of competence: 
Health Facilities and Services
Donor organization: 
KfW (KfW Development Bank)
Start of Project: 
End of Project: 
Value of service: 
€ 1,086,895
Partner Organisations: 
GOPA Consultants
Description of Project: 

The German Government, through KfW, assigned EUR 8 million to support the Tuberculosis (TB) control efforts in the Khyber Pukhtunkhwa province of Pakistan, aiming to improve the diagnosis and treatment of TB patients, including those who have multi-drug resistant (MDR) TB. In addition, it is intended to contribute to full direct observed treatment – short course (DOTS) coverage in all districts of the province and to include the private sector in the provision of diagnosis and treatment services. 

This project builds upon the successes achieved in an initial phase which began in 2007, and through which, among other things, a Provincial TB Reference Laboratory was newly constructed and equipped. To address the issue of TB diagnosis, treatment and prevention, innovative measures were undertaken to involve private-sector stakeholders in a concerted effort to contribute to increase of DOTS coverage and to improve treatment outcomes. To facilitate the continued implementation of various project activities and compliment GIZ-led interventions in TB treatment, it was decided to follow up the initial project with a 3-year engagement (subsequently extended by one more year) to support the Provincial TB Programme (PTP).

Description of Services: 

The Consultant contributed to the achievement of the programme objectives by supporting the PTP in the implementation of various programme components, such as the procurement of full cycles of adult and paediatric first- and second level TB drugs in accordance with WHO guidelines, the construction and equipping of a Bio-Safety Level 3 laboratory able to handle Culture and Drug Sensitivity Testing (DST) within the existing Provincial TB Reference Laboratory, as well as the rehabilitation and equipping of over 70 laboratories in the 22 districts of KP which provide TB-related services. Furthermore, procurement of equipment (GeneXperts) and kits for the diagnosis of Multi-Drug Resistant TB was undertaken, as well as design and execution of Advocacy, Communication and Social Mobilization (ACSM) initiatives.


Furthermore, to strengthen the operationalization of the BSL-3 laboratory, the management and supervision of training arrangements for laboratory technicians was undertaken as well as conduct of information, education and communication campaigns to promote TB-related behaviour change and increase measures which prevent transmission. The Consultant was also charged with managing a Disposition Fund of EUR 3 million on behalf of the Project Executing Agency.

Project Volume: 
€ 1,215,645