47045-BGR-T-MoH-1 The Global Fund to Fight AIDS, Tuberculosis and Malaria <narrative>Reduction of TB prevalence by 6 % by 2017 - Bulgaria (01-Oct-2015-30-Sep-2018)</narrative> Bulgaria, Tuberculosis, Ministry of Health of the Republic of Bulgaria Goals: To reduce the incidence dut to tuberculosis by 40% in 2025 as compared to 2015; To reduce the mortality due to tuberculosis by 40% in 2025 as compared to 2015. Objectives: To improve TB case detection and treatment success among Roma population; To promote the use of new diagnostic tool, interventions, strategies and enhance operational research and innovation; To reduce the TB transmission among KAP: IDU, TB contact and homeless children, refugees and asylum seekers, diabetics, TB/HIV; To reduce the TB transmission among prisoners; To scale up high quality integrated patient-centered TB care and prevention nationwide and respond to priority challenges to TB control. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria Ministry of Health of the Republic of Bulgaria 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 Natalia Manic Fund Portfolio Manager +41 58 791 1700 natalia.manic@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 Bulgaria Tuberculosis 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 3616494.26 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 950198.52 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 374661.40 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 221636.66 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 147286.99 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 70892.81 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 38576.10 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 364384.55 Funds returned to the Global Fund from BGR-T-MoHP01. Ministry of Health of the Republic of Bulgaria The Global Fund to Fight AIDS, Tuberculosis and Malaria -364384.55 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 825358.56 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 12928.15 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria -974955.06 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 2826309.12 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 1705855.20 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 28869.78 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 567547.25 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 56928.96 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria -28869.78 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 36256.87 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 516649.80 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 1584283.70 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 51377.94 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 618775.28 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 15695.52 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 1366384.51 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria -898434.97 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 1078762.73 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 30108.90 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 147413.98 Global Fund disbursement to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 365029.91 Funds returned to the Global Fund from BGR-T-MoHP01. Ministry of Health of the Republic of Bulgaria The Global Fund to Fight AIDS, Tuberculosis and Malaria -365029.91 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria -140207.80 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria -26820.06 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria 98.90 Funds returned to the Global Fund from BGR-T-MoHP01. Ministry of Health of the Republic of Bulgaria The Global Fund to Fight AIDS, Tuberculosis and Malaria -98.90 Global Fund commitment to BGR-T-MoHP01. The Global Fund to Fight AIDS, Tuberculosis and Malaria Ministry of Health of the Republic of Bulgaria <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: 19. Numerator: 35. Numerator: 20. Numerator: 45. Numerator: 15. Numerator: 35. Numerator: 27; Denominator: 29; Percentage: 93.1%. Numerator: 35. Numerator: 20. <narrative>Percentage of cases with RR-TB and/or MDR-TB started on treatment for MDR-TB who were lost to follow up during the first six months of treatment</narrative> Module: MDR-TB. <narrative>Percentage of cases with RR-TB and/or MDR-TB started on treatment for MDR-TB who were lost to follow up during the first six months of treatment</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 0; Denominator: 55. Numerator: 0; Denominator: 10. Numerator: 1; Denominator: 26. Numerator: 0; Denominator: 27. Numerator: 0; Denominator: 12. <narrative>Percentage of previously treated TB patients receiving DST (bacteriologically positive cases only)</narrative> Module: MDR-TB. <narrative>Percentage of previously treated TB patients receiving DST (bacteriologically positive cases only)</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 109; Denominator: 132. Numerator: 127; Denominator: 141. Numerator: 91; Denominator: 108. Numerator: 139; Denominator: 150. Numerator: 81; Denominator: 92. Numerator: 150; Denominator: 160. Numerator: 84; Denominator: 89. Numerator: 163; Denominator: 171. Numerator: 63; Denominator: 69. <narrative>DOTS-1a: Number of notified cases of all forms of TB - bacteriologically confirmed plus clinically diagnosed, new and relapses</narrative> Module: TB care and prevention. <narrative>DOTS-1a: Number of notified cases of all forms of TB - bacteriologically confirmed plus clinically diagnosed, new and relapses</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1930. Numerator: 1733. Numerator: 1566. Numerator: 81; Denominator: 92; Percentage: 88%. <narrative>DOTS-2a: 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</narrative> Module: TB care and prevention. <narrative>DOTS-2a: 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</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1916; Denominator: 2280. Numerator: 1626; Denominator: 1932. Numerator: 1492; Denominator: 1760. <narrative>Number of TB cases (all forms) notified among key affected populations/high risk groups</narrative> Module: TB care and prevention. <narrative>Number of TB cases (all forms) notified among key affected populations/high risk groups</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Number of notified TB cases (all forms) contributed by non-national TB program providers - community referrals</narrative> Module: TB care and prevention. <narrative>Number of notified TB cases (all forms) contributed by non-national TB program providers - community referrals</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 73; Denominator: 1932; Percentage: 3.8%. Numerator: 75. Numerator: 84; Denominator: 0. Numerator: 80. Numerator: 97. Numerator: 85. Numerator: 97. <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. <narrative>Number of notified cases of bacteriologically confirmed TB, new and relapses</narrative> Module: TB care and prevention. <narrative>Number of notified cases of bacteriologically confirmed TB, new and relapses</narrative> Geographic coverage: National. Aggregation: Non cumulative. <narrative>Percentage of laboratories showing adequate performance in external quality assurance for smear microscopy among the total number of laboratories that undertake smear microscopy during the reporting period</narrative> Module: TB care and prevention. <narrative>Percentage of laboratories showing adequate performance in external quality assurance for smear microscopy among the total number of laboratories that undertake smear microscopy during the reporting period</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 30; Denominator: 30. Numerator: 30; Denominator: 30. Numerator: 34; Denominator: 34. <narrative>Percentage of notified TB cases, all forms, contributed by non-NTP providers - community referrals</narrative> Module: TB care and prevention. <narrative>Percentage of notified TB cases, all forms, contributed by non-NTP providers - community referrals</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 73; Denominator: 1932. Numerator: 70; Denominator: 1733. Numerator: 75; Denominator: 1643. Numerator: 80; Denominator: 1557. Numerator: 97; Denominator: 1463. Numerator: 85; Denominator: 1476. Numerator: 97; Denominator: 1045. <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: 1916; Denominator: 2280. Numerator: 1556; Denominator: 1831. Numerator: 1491; Denominator: 1760. Numerator: 1492; Denominator: 1735. Numerator: 1324; Denominator: 1565. Numerator: 1430; Denominator: 1644. Numerator: 1296; Denominator: 1524. <narrative>Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings</narrative> Module: TB/HIV. <narrative>Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 861; Denominator: 861. Numerator: 1051; Denominator: 1051. Numerator: 1086; Denominator: 1086. Numerator: 1146; Denominator: 1146. Numerator: 1154; Denominator: 1154. Numerator: 1241; Denominator: 1241. Numerator: 1198; Denominator: 1198. Numerator: 1336; Denominator: 1336. Numerator: 1449; Denominator: 1449. <narrative>Percentage of TB patients who had an HIV test result recorded in the TB register</narrative> Module: TB/HIV. <narrative>Percentage of TB patients who had an HIV test result recorded in the TB register</narrative> Geographic coverage: National. Aggregation: Non cumulative. Numerator: 1393; Denominator: 1932. Numerator: 1388; Denominator: 1733. Numerator: 1311; Denominator: 1660. Numerator: 1478; Denominator: 1643. Numerator: 1265; Denominator: 1607. Numerator: 1416; Denominator: 1557. Numerator: 1203; Denominator: 1463. Numerator: 1364; Denominator: 1476. Numerator: 859; Denominator: 1045.