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

Community Based TB care through former TB patients’ social clubs1.0 NATIONAL TUBERCULOSIS AND LEPROSY CONTROL PROGRAMME1.1 Organizational structure of NTLPThe NTLP is based on the central- local government structure of the MoHSW and that of thePrime Minister’s Office Regional Administration and Local Government (PMORALG). The majoractivities implemented by the NTLP is to mainstream TB control activities at lower levels fromthe region, district to community, basing on the stop TB strategy including communityinvolvement and patient empowerment.Prime Minister’s OfficeRegional Administration and Local GovernmentMinistry of Health and Social WelfareDirectorate of preventive services(TLCU)RASRMO (RTLC)DAS/DEDDMO (DTLC)In-chargeHealth centreIn-chargeDispensaryCommunityFig 1: Organizational structure of the Tuberculosis and Leprosy control programme1.2 Temeke RegionTemeke is the largest Municipality among of the three Municipalities in Dar es Salaam city,covered 656 sq. km, with the population of 927,310. According to the NTLP, these Municipalitiesare taken as regions. Temeke region is located on southern part of Dar es Salaam city, and ithas seven (7) NTLP districts namely Wailes, Mbagala (Kizuiani), Tambukareli, Kigamboni,Yombo Vituka, Keko and Rangi Tatu. Economically, the population in the rural part of Temeke isengaged in small scale farming, petty trading and fishing. A small proportion of urbaninhabitants are employed by either government, parastatal or informal sector.Experience from Temeke Page 1