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

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