Quick Facts

General

Operation ASHA is a registered NGO in India and has tax exemption. Operation ASHA is also a 501(c)3 nonprofit in the United States. OpASHA U.S. serves as fiscal sponsor for the Indian organization. OpASHA works closely with the National TB Programs in India and Cambodia to prevent and treat tuberculosis in hard-to-reach communities.

Tuberculosis Worldwide

Countries We Serve: India and Cambodia

  • We have successfully treated 32,600 patients in India and Cambodia.
  • We serve more than 3,000 disadvantaged communities, including urban slums and villages.
  • We serve a total population of 5.48 million improving.

TB in IndiaTB in India is perhaps the biggest public health problem. The following diagram illustrates this:

States and cities we serve in India

We serve a population of 4.4 million. We now work in 16 cities and 1 entire tribal block in 8 states.

  • Madhya Pradesh: Bhopal, Gwalior, Gwalior Ghati Block, Indore, Sagar
  • Uttar Pradesh: Moradabad
  • Rajasthan: Jaipur
  • Chattisgarh: Raipur, Durg&Bhilai, Korba
  • Delhi NCR: East Delhi, West Delhi, South Delhi
  • Punjab: Amritsar
  • Orissa: Bhubaneswar
  • Maharashtra: Bhiwandi, Dharavi

Details of work in India

  • We established our first center in September 2006.
  • We operate 194 centers.
  • We enrolled 7930 TB patients in 2012.

Cambodia

We serve a population of 1.08 million people in Cambodia in the 2 provinces and 5 Operational Districts:

  • Phnom Penh: West OD and Sensok OD
  • Takeo: Bati, Prey Kabas and Daunkeo ODs

Details of work in Cambodia

  • In Cambodia, we established our first center in December 2010.
  • We currently operate 51 centers in two provinces, including the capital Phnom Penh

Urban model

  • In urban areas (which are served mostly in India), each center treats between five and 75 patients at any given time. The centers serve a population of between 2,000 and 30,000 within a 1.5 km radius of the center. The average population served by each center is 25,000.
  • On average, a center treats 50 patients annually.

Rural model

  • In rural areas, OpASHA uses mobile DOTS, where a provider travels from village to village on a motorcycle/scooter, carrying with him strips of anti-TB drugs and other supplies. The provider gives the medicine to each patient at her house or a mutually convenient place, and observes them swallow the dose. Fifteen percent of centers in India and all centers in Cambodia except one follow this pattern.
  • On average, a mobile provider treats 50 patients annually.

Services Provided

  • TB treatment and support lasting 6-10 months.
  • MDR-TB treatment and care that lasts around 24 months for each patient.
  • Over-the-counter medicines to treat side-effects of TB drugs, including nausea, vomiting, weight loss, headache, and joint pain.
  • Food and nutrition supplements, contraceptives and Oral Rehydration Salt (ORS).
  • OpASHA provides jobs to slum dwellers who work as providers and community partners: 60% of OpASHA’s expenses generate livelihood in the slums simultaneously with fighting TB.

Our Success

  • The default rate for centers was 2.75 percent in 2010. The default rate indicates the number of patients who have failed to complete their TB treatment. Although, our reported default rate is 1.5 percent with eCompliance, our general model has ensured a much lower rate than rates reported by other NGOs, which can reach percentages as high as 60 percent.
  • 89 percent of our patients successfully complete their prescribed treatment matching World Health Organization standards.
  • We increase detection rate by 100% within 6-18 months of starting work in any area.
  • Created 162 jobs for disadvantaged persons.
  • Substantially increased income for 175 local businesses that serve as locations for Operation ASHA DOTS centers.