Revised National Tuberculosis Control Programme
Activities in Project Axshya
(GFR 9 TB project)
Voluntary Health Association of India
The Global Fund Round 9 TB ACSM Project
Objectives
Objective 1
• Improve the reach, visibility and effectiveness
of RNTCP through civil society support in 300
districts across 21 states by 2015
Objective 2
• Engage communities and community-based
care providers in 300 districts across 21 states
by 2015 to improve TB care and control,
especially for marginalized and vulnerable
populations including TB-HIV patients
Initial Phase
• Initial district pre-planning preparatory activities
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Collect basic information on the district
Structured collection of data on a format
The format will have two components for data collection
State level (to be filled by SRs who will be responsible for state level
activities)
• Line list of master trainers,
– District level (to be filled by all SRs for each district)
• Map of the district, population, TU, DMCs, PHIs, ICTCs existing DOT
provider network
• Performance of the district with respect key programme project indicators
• List of NGOs, CBOs, SHGs and rural providers
• Existing RNTCP master trainers
• Existing district TB forums, DLNs,
• Information on existing health staff, gaon kalyan samitis
• Etc..,
Description of key activity
Dharti Sanstha, Morena
Sensitization and meetings with Gaon Kalyan Samities
• 10 sensitizations per month
• Purpose of these meetings
–Awareness generation, reduce myths and misconceptions
–Provide information about RNTCP diagnostic and treatment
services
• Participants will be members of GKS, schools, women
groups, SHGs and other CBOs
–at least 10 participants per meeting
–No/limited duplication between NGO activities
• Contents of these meetings
–Describe TB, RNTCP, address myths and misconceptions about TB
and help symptomatic people seek care
• Documentation-a brief record containing venue, people
attended with the ? Signatures and information on what is
discussed.
Community awareness rallies
• Conduct community wide awareness programs through rallies,
village announcements, articles in local dailies and road shows on
World TB Day (local level) and International Women’s day in
consultation with district program officers,
• Purpose – Create awareness about TB and to reinforce messages on
TB and address misconceptions identified through community
meetings
• Time and frequency – This event will be held twice in a year. The
rallies will be organized on World TB day on 24th March. The other
event can be organized on International Women’s day, World Health
day or red ribbon day.
• Rally Participants – The participants can be school children, cured
TB patients, DOT providers and community groups.
• Content - Advocacy and communication pamphlets
Sputum Collection Centers
• In consultation with the district TB officers, MOTCs and STS,
identify areas in the district where sputum collection centers
are required
– the case finding is low/ hard to reach areas, tribal areas
– DMCs non functional
– In rural practitioners clinics with high OPD
• Sputum cups and transport boxes will be requested from the
DTOs/MOTCs
• Identify community volunteers
• Orient them in sputum transportation
• At-least 3 visits to the nearest DMC per week
• Information on the number of sputum samples transported
will be collected
Re-tracing defaulters
In consultation with district TB officers
• NGOs will undertake this retrieval activities as part of their
community based activities
• Establish mechanism of passing information from the DOT
Providers/STS/ STLS to the NGOs on patients who have missed
2 doses in IP and 1 week doses in CP
• Such patients list will be periodically provided by the
programme once in 15 days. The NGO/NGO representative
will visit the patient, DOT provider and provide counseling
services to prevent default.
• Counseling will include assessing the life contingencies of
patients making them to miss dose.
• Budget available for this Rs 2300 pm to cover transportation
costs
Develop and Orient TB forums
• 1 forum at each district
• Composition: Cured patients, representative of marginalized
communities, senior citizens, slums, … people spread across the districts,
NGO representatives, CBO representatives, PLHA
• Purpose:
– To participate in meetings with DTOs/ CMOs/DMs and provide
information on the community perspectives of the programme,
interact with patients and bring community perspectives to TB
programme
– They can also participate in community meetings organized by
NGOs
– They can also act as DOT providers /community referrers
• They meet once a quarter