The History of BNMT 2008 to Present

In addition to our work with the National TB programme, BNMT addresses a range of health rights issues in Nepal through specific projects including:

Children affected by armed conflict – BNMT has been supporting conflict affected children, their families and communities through a socio-economic rehabilitation project.   This work aims to ensure access to health, education and social services for affected communities and to boost the capacity of civil society organisations for advocacy and networking on children’s rights.

Human resources for health – to increase the commitment in Nepal at policy and programme level, for the provision of skilled and motivated nurses, doctors and other health care personnel. The work aims to prioritise human resources planning and management in all aspects of health service operations including advocacy by civil society organisations for the prioritization of human resources for health.

Rights based approach to health – aiming to ensure equitable access to quality health services and better livelihood options for disadvantaged groups.

Community based child nutrition – working to improve the nutritional status of under fives in Rautahat District. The project provides nutritional education to mothers groups in addition to providing food supplementation and nutritional support to some families.

Adapting to climate change – BNMT has supported a number of village development committees in the Far West to prepare action plans to enable the poorest and most vulnerable of communities adapt to the effects of climate change.

Detecting TB cases – TB Reach – A large proportion of TB cases remain undiagnosed. BNMT worked in partnership with WHO Stop TP trialling and evaluating innovative methods of increasing the case detection rate through mobilizing female community health volunteers to trace contacts of people who had been diagnosed with the disease.   An additional 2000 cases of TB were identified and enrolled for treatment with a cure rate of 93%.   BNMTs casefinding methods proved so successful they have been incorporated into NTPs national strategy.

Research on smoking and tuberculosis – A national survey in Nepal in 2011 reported that 30% of men and 9% of women in Nepal were cigarette smokers and those most likely to smoke were poorer and less educated.   Cigarette smoking is associated with TB infection but also results in delayed cure rates, increased relapse rates and higher mortality from TB.   BNMT carried out a study to assess the impact of including brief smoking cessation advice to patients starting TB treatment and showed that 39% of smokers with TB offered smoking cessation advice stopped smoking for at least six months. Published in the Journal of the International Union of TB and Lung Disease.