Community-Based TB Care: Experience from ... - CORE Group

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Community Based TB care through former TB patients’ social clubsSometimes members agree to pay some money for development activities. For example,Kigamboni club contributed the initial cost for flower garden development.• Economic and income generating activitiesMUKIKUTE has created different projects for income generation. These include:o Drama club which has been used for community sensitization and also it usually lent outin different occasionso Lend out generators, modern music system and amplifierso The organization makes “tie and die” clothes (batiks) and sell them for generatingincomeMUKIKUTE members lookingat the “tie and die” clothes(batiks) developed by the club.• Donation from other partner organizationLHL has adopted and active supportive role and used a combination of methods andapproaches in its cooperation with MUKIKUTE. These include:o Skills enhancement through seminars, workshops, and training,o Involvement of patients, former TB patients and service providers in development of IECmaterials,o Consultative visits by LHL officials to observe the programme activities and meetstakeholders and patients,o Provision of on-site advice, support and mentoring,o Facilitating opportunities for participation in seminars and conferences locally, regionallyand internationally,o Nurturing and promoting local talent/expertise such as in the production of locallyresponsive IEC materials (TB booklets).Experience from Temeke Page 9
Community Based TB care through former TB patients’ social clubsBank account2.2.8 Monetary management within the organizationBank account opened by the name of the organization. There are four signatories of theorganization. All revenues of the organization are deposited to the bank. All cheques and ordersfor payments from the account have been signed by at least two signatories. The organizationfinancial year ends on 31 st December, every year.2.3 Collaboration between TB clinics and MUKIKUTE• Community mobilization/sensitizationDuring community sensitization, MUKIKUTE works hand in hand with health personnel includingDTLCs. Before sensitization is done MUKIKUTE and health care providers work together toprepare massages for drama and talks. During the course of sensitization, health care providershave the role of clarifying and responding to issues rose from community members.• Orientation/training community leadersDuring training/orientation workshops of influential people which are organised in collaborationbetween MUKIKUTE and Temeke Municipal, health personnel facilitates the trainings.• Selection of treatment supportersSmear positive patients who opt for home based DOT and those who have no relative tosupport them during treatment, health care providers have to communicate with MUKIKUTEleaders for select the treatment supporter from the organization who is living closely to thepatient for easy accessibility.• Health educationThis is provided to treatment supporters who come for refill of medications. In Temeke, isprovided on Tuesdays and Thursdays (drug refill days). This helps to remind treatmentsupporters their responsibility and to properly handle patients in different situations. Theeducation is provided by health care providers and one or two selected member(s) fromMUKIKUTE.• Intensified Case Finding (ICF)MUKIKUTE brings TB suspects obtained by either screening TB contacts or identifying themfrom the general community (active case finding forms available). Health workers facilitateinvestigations for diagnosis.• Defaulter tracingHealth workers provide a list and addresses of defaulters to MUKIKUTE leaders. The former TBpatients have been given the responsibility of tracing them basing on their residential locations.The health workers usually accompanied the former TB patient and use that opportunity toeducate the whole family and other TB contacts.• Health talksHealth workers support former TB patients to conduct health talks and give their testimony toTB patients at diagnostic and DOT centres. Former TB patients assign themselves at least twoExperience from Temeke Page 10
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Community-Based TB Care: Experience from ... - CORE Group

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