USAID URBAN TB LON II Activity

Start Date: March 22nd, 2023 End Date: March 21st, 2029

Addressing Ethiopia’s Urban Tuberculosis Crisis

The USAID Urban TB LON II Activity is a five-year initiative aimed at combating tuberculosis in Addis Ababa, Dire Dawa, Harar, and Shaggar Cities, Ethiopia. Funded by the U.S. Agency for International Development (USAID), the project seeks to:

  • Find undetected TB cases
  • Improve patient care
  • Develop innovative solutions to reduce TB prevalence and deaths

This effort is a critical component of Ethiopia’s national plan to eliminate TB.

Tuberculosis remains a significant global health crisis, claiming 1.3 million lives worldwide in 2022 alone. Ethiopia, despite progress, continues to face high TB rates, particularly in urban areas. To address this challenge, USAID awarded REACH Ethiopia a $7.5 million grant to implement the Urban TB LON II Activity.

By partnering with local organizations, the project aims to strengthen community-led TB programs and improve health outcomes for urban residents.

Project Goals

The overall goal of the Urban TB LON II Activity is to contribute to achieving the regional END TB 90(90)90 targets in Ethiopia’s urban settings by 2029 through citizen-responsive, locally led, and accountable urban TB programming.

Specific Objectives:

Build capacity of four Local Organizations (LOs) to achieve >3.0 points based on the NUPAS tool organization’s capacity performance metrics by 2029.

Detect and treat 91,621 people with DS-TB and 1142 people with DR-TB by 2029.

Reach 90% of mapped Key Vulnerable Populations through Active TB screening by 2029.

Increase community TB contribution to case notification from 14% in 2022 to 25% by 2029.

Achieve and sustain a 95% Treatment Success Rate for all forms of DS-TB and an 80% Treatment Success Rate for people with DR-TB by 2029.

Achieve 90% TPT uptake among nationally eligible groups by 2029.

Achieve 95% TPT completion rate among clients initiated on TPT by 2029.

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REACH Ethiopia grew out of a TB project that started in 2010. This project introduced an innovative community package that engaged health extension workers (HEWs) to increase TB case detection and treatment adherence.
Addis Ababa, Ethiopia

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