1. Global Fund grant (January 2018 to March 2021) Strengthening sustainable Laboratory Diagnostic Network of RNTCP and Improving universal access to TB services for patients engaged with the private sector FIND India update January-December 2018

2. Global Fund project – PR FIND
Duration of the project Jan 2018 – Mar 2021
Total Budget : $33.14mn
Lab strengthening
Establishing Culture and DST labs across the country
10 labs during and 10 labs during
Supply of lab consumables for LPA and liquid Culture and DST
Support for annual maintenance of TB lab equipment
Establishing the Lab Information Management System
Project JEET
Engaging private sector and supporting notification and treatment adherence of TB patients

3. TB Liquid C&DST facility establishment
Upgradation of 20 TB labs : 10 in phase 1; 10 in phase 2
Status of labs in phase 2:
Initial joint assessment visits of the following 9 sites completed:
Chhattisgarh, Raigarh
Meghalaya, Shillong
Telangana, Warangal
Uttar Pradesh, Kanpur Nagar
Uttar Pradesh, Jhansi
Nagaland, Kohima
Pawapuri, Bihar
Sambalpur, Odisha
Gaya, Bihar ( Lack of infrastructure at Gaya. need an alternate site from Bihar)
Site visit planned on
Bangura, WB (March 2019) – Site yet to identify the suitable place for the Lab upgradation.
Status of labs in phase 1:
Initial joint assessment visits of the following 10 sites completed:
Chittoor, Andhra Pradesh
Bhopal, Madhya Pradesh
Akola, Maharashtra
Aizawl, Mizoram
Bikaner, Rajasthan
Coimbatore, Tamilnadu
Allahabad, Uttar Pradesh
Murshidabad, West Bengal
Rohtak, Haryana
Faridkot, Punjab

4. TB Liquid C&DST facility establishment
Process for establishing 10 C&DST labs initiated
RFP and pre-bid meeting, Technical bid evaluation report –Completed. Financial bid opening- Completed.
Finalisation of vendor under process
The following three labs the work to be done by the site/state has not started yet. This will delay the lab upgradation process.
Allahabad: Fund transferred from DTC to the Principal MLN Medical College but the civil and electrical work related to upgradation of TB LC&DST Lab is not yet initiated.
Coimbatore: The cost estimate submitted to NHM for the approval. Approval is pending. Hence, the civil and electrical work related to upgradation of TB LC&DST Lab is not yet initiated
Tirupathi: Fund transferred from State to the Medical College but civil and electrical work related to upgradation of TB LC&DST Lab is not yet initiated

5. Maintenance of TB C&DST labs under RNTCP
AMC of 21 type of critical equipment for 66 labs are covered
Total number of equipment for PM and Calibration- 3738
Status of Preventive Maintenance and Calibration:
Completed for 90% of equipment and 10% to be completed between by March 2019
Second round of Preventive Maintenance and Calibration for Refrigerated Centrifuge and pipettes (Semi-Annual basis) has been initiated by agency and will be completed by March 2019
Corrective Maintenance
Total no. of complaint logged during 2018: 625
Completed calls: 487
In Process: 98
Irreparable: 40
Frequent breakdown: Autoclaves, Walk in Cold Room, BSL 3 Lab, Biosafety Cabinet, Walk In Incubator, Incubator, Hot Air Oven

6. Establishing the Lab Information Management system (LIMS)
Core LIMS software developed and piloted
Logistics module under development
Hardware provided to 61 labs
There has been some delay in implementation of LIMS due to the pending integration with Nikshay. This has been discussed with CTD and the onsite trainings for LIMS have been initiated while the integration with Nikshay is being done simultaneously. The trainings will be completed for all labs by June 2019.
FIND is working with the Nikshay team at CTD on the integration of LIMS by April 2019.

7. Target vs achievement Jan-Dec 2018
Indicator
Target
Achievement
Identified Laboratories to be upgraded for TB containment laboratories
Jan-Sep2018
Laboratory assesment in finalized in 10 Labs (Fist Batch)
10 Labs assesment completed (100%)
Oct 18- Mar 19
Renovation of the 10 Labs.
Initiated. Finalisation of vendor under process.
Delayed due to
Received the site list Mid June 18
Lack of Pre-requisite/infra structure facilities at Gaya(BI), Pawapuri(BI) and Sambalpur(OD)
Approval delay

8. Challenges and Mitigation
Delay in activities to be carried out by Site/State
Suboptimal support from the site/state
Delay in release of money from state for the activities to be carried out by the site
Lack of coordination from Civil and Electrical department of the site
Change of an administration in the site
Regular follow up with Site and State and provide regular updates to the CTD for the support.
We need support from CTD to coordinate with the respective states to expedite activities to be carried out by the site and State
Transition of AMC service
In coordination with CTD, MGIT machine transition plan from 1 April 2019 submitted to CTD

9. Status Update of Action points from last PR Coordination committee meeting
Sr. No.
Action Item
Responsible Stakeholder
Agreed Timeline
Current Status/ Remarks 1
Laboratory establishment in Gaya is getting delayed due to non-preparedness of site. It was requested for change of site, for which FIND need to send formal communication to the State. For such change, States need to be on board.
FIND India
Immediate
Communicated to STO Bihar vide dated 29 Nov Follow up with CTD and State for the alternate site for Bihar. 2
DDG-TB suggested that since attrition of staff was noted as a common problem among all PRs, it needs to be documented and communicated to the Global Fund.
All JEET PRs
Nov 2018
Communicated to TGF in Progress Update submission. Review for revisiting salaries under process. 3
There is overlapping of activities among THALI project and JEET in West Bengal which needs to be taken care of.
Discussed with USAID & SR partners & there’s no activity overlap between THALI & JEET

10. Jan - Dec 18: Budget Vs Expenditure (INR) and Major Reasons for Underspend
Human Resource (HR):
Delayed onboarding of Sub-grant recipients of JEET grant has impacted the expenditure on account of phased recruitments of field staff. The recruitments are being  expedited.
Travel Related Cost (TRC):
This is on account of delayed recruitment which in in turn has impacted the expenditures pertaining to travel related costs (travels, meetings, trainings, CMEs etc.). Proportion of the said un-executed activities have been rationally carried forward & we expect that the same would be executed in subsequent quarters.
External Professional services (EPS):
Most of the costs pertain to Lab Information Management System (LIMS) & is part of our current commitments which will be booked in subsequent quarters.
Budget in INR
Budget in USD
Expenditure in INR
Expenditure in USD
Proportion of Expenditure(%)
Variance in INR
Variance in USD
Proportion of variance (%)
43,07,79,198
66,27,372
26,47,05,908
39,47,624
61%
16,60,73,291
26,79,749
39%

11. Thank you