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Organization Contact Information

Name: Bach Christian Hospital
Street 1: Karakoram Highway
Street 2: Qalandarabad
City: Abbottabad District
Province: Khyber Pakhtunkwa
Post Code: 22000
Country: Pakistan
Phone: +92992370007
Organization Email: bachadmin@gmail.com
Web Site:
Other Online Presence: https://pcp.org.pk/pagestyle.php?catd=72

Focal Point Contact Information

Salutation: Dr
First Name: Anbesan
Last Name: Hoole
Title: Dr
Email: anbesan.hoole@gmail.com
Phone: +447858873047

Alternate Focal Point Contact Information

Salutation: Dr
First Name: Luke
Last Name: Cutherell
Title: Dr
Email: bachdoc@team-family.org
Phone:  

General Information

Board Constituency: None
Is your organization legally registered in your country: Yes
If yes, please enter your registration number: 03058 (Khyber Pakhtun Kwa Health Commission), PCP - R4/2019/0056 (Pakistan Centre for Philanthopy)
Organization Type - Primary: Non-Governmental Organization
Organization Type - Secondary: Faith-based organization (FBO)
Organization Description:
Bach Christian Hospital (BCH) is dedicated to serving the poor people of the Kaghan and Kohistan valleys in Northern Pakistan. We have been providing compassionate and competent medical care irrespective of caste or creed for over 60 years, and are registered with the Pakistan Centre for Philanthropy.

We have outpatient clinics with around 90 000 outpatient visits per year and a 60 bed inpatient facility with departments in General Medicine, Surgery, Paediatrics, Obstetrics and Gynaecology. The hospital provides affordable quality care with subsidized rates and a fund to assist those who cannot pay even the subsidized rates. The staff number around 200 including a few doctors and nurses from the US, UK and Germany. The hospital is supported by onsite laboratory, X ray, pharmacy and physiotherapy facilities.

Pakistan has the 5th largest TB burden in the world and accounts for 61% of TB cases in the Eastern Mediterranean Region. Pakistan also ranks 5th in the world for Multi Drug Resistant TB (MDR TB). Despite efforts to eliminate TB in line with the UN Sustainable Development Goal 3.2, Pakistan only had a marginal decrease in TB incidence between 2015 and 2020. This was less than even the nationally set goal of a reduction of 20% by 2020. The private (non-government) sector plays a huge role in TB case detection and treatment in Pakistan, accounting for 85% of patients treated for TB.

BCH is committed to TB case detection and treatment through its outpatient services supported by X ray and lab facilities for smear detection of AAFB. However, case detection and appropriate treatment is limited through a lack of ability to perform NAAT testing in smear negative cases and appropriate detection of MDR TB. Patients are often referred on and have had barriers accessing further care or have been lost to follow up resulting in preventable morbidity and mortality. Therefore we are planning to acquire a Genexpert PCR machine which has been recommended by the WHO for Xpert MTB/RIF to improve case detection of TB.
 
Do you know about the UNHLM declaration: Yes

Specializations / Areas of Work

Advocacy
Civil Society and Community Engagement
Delivery of health services and care
Working on Key Populations related to TB

Other Organization Information

Total number of staff in your organization: 100 +
Number of full-time staff who are directly involved with TB: 26 - 50
Number of part-time staff who are directly involved with TB: 6 - 10
Number of volunteers who are directly involved with TB: 1 - 5
 
How did you hear about the Stop TB Partnership: Involvement in TB control provision
If you were informed or referred by another partner of the Stop TB Partnership please tell us who: BCH is involved in TB care in KPK
Why do you wish join the Stop TB Partnership: Resource mobilization
 
Are you a member of a Stop TB national partnership: Pakistan
Are you in contact with your national TB programme: No
Please tell us how your organization is contributing to your country's national TB control plan:
As mentioned above, non government organizations like BCH account for 85% of TB treatment in Pakistan which has the world's 5th largest TB burden.

Expansion of facilities at BCH to include NAAT testing will improve TB case detection and treatment, therefore reducing TB incidence and helping to achieve national and global (SDG) targets towards global elimination of TB.
 

Geographical Reach

Which country is your headquarters located in: Pakistan
Which countries do you do operate in:
(This includes countries you are conducting activities in)
Pakistan

Contribution

Please tell us how your organization will contribute to the Global Plan to Stop TB by briefly describing its involvement in any of the areas of work listed below:

TB Care Delivery:
Bach Christian Hospital established in 1956 became one of the first TB clinics to serve to serve the disadvantaged population of the Kaghan and Kohistan Valleys of mountainous Northern Pakistan. Satellite village clinics operated while security permitted. BCH retains the trust of the local population due to its history of compassionate care and continues to operate a busy outpatient clinic including TB care.
Patient education and disease self management is an important aspect of all of our care including TB. Examples include patient counselling, posters and patient information leaflets.

Drug-Resistant TB:
Patients at risk for MDR TB such as patients for retreatment or treatment failure are sent for MDR TB testing at government centres further away. However this has resulted in a loss of patients to follow up with adverse outcomes.

TB-HIV:
Patients with HIV are screened for TB and patients diagnosed with TB are tested for HIV. BCH aims to improve HIV case detection though acquisition of onsite HIV PCR testing to confirm HIV antibody screening tests.

Laboratory Strengthening:
BCH operates sputum AAFB testing and X ray facilities. BCH has renewed its commitment toward TB elimination and aims to strengthen its laboratory facilities through NAAT testing (Genexpert MTB/Rif assay).

New Diagnostics:
BCH aims to secure a Genexpert PCR machine to improve case detection of sputum negative TB and detection of MTB in high risk groups.

Research:
BCH is committed to ongoing medical development and education, particularly within a resource poor setting. We have had papers published on other medical topics based on our own data. We hope to extend this to TB

Declaration

Declaration of interests:
No conflicts of interest to be disclosed

Application date: January 16, 2021
Last updated: January 22, 2021