Introduction

The devastating earthquake of April 2015 caused damage to health care infrastructure and displacement leading to the disruption of healthcare services including TB diagnostic and treatment centers. The situation triggered by the disaster requires psycho-social counseling for the TB patients and their family members. Nutrition support for poor TB patients who cannot offer adequate food and nutrition is crucial for the improvement of treatment adherence.

Post Disaster Need Assessment was carried out in the top 11 TB priority districts affected by the disaster and aimed at collecting and collating information on damage, and losses, tracing TB (particularly DR TB patients), and identifying post-disaster needs for reconstructing and rebuilding TB service with the broader concept of building back better. The most important recommendation was to provide psychosocial support to TB patients, provision nutritional support and transportation allowance for TB patients, provide a rehabilitation package for many needy TB patients, and stigma reduction, and awareness program. Local government units may not possess the adequate technical and financial capacity to carry out basic functions and mandates related to recovery. This requires abundant technical assistance to support the local governments and help TB patients and their family members.

Objectives

• To enhance the capacity of the health care providers and urban TB volunteers on psycho-social counseling working in urban health clinics in Kathmandu Valley
• To provide nutrition support for the poor TB patients who are suffering from the disaster and motivate them to continue their remaining TB treatment
• Maintenance of the broken furniture in the clinic and supply of water filters, cabinets to run the DOTS clinics without any difficulty