COMMUNITY INVOLVEMENT TB CONTROL PROGRAM PAKISTAN By Dr . Syed Karam Shah
Community role in DOTS Implementation being recognized“the Basic Development Needs Programme makes it a Reality” • Women health volunteers actively supporting local health workers to detect and supervise TB patients • DOTS implementation coupled with BDN poverty reduction intervention through a GFATM initiative • TDR Evidence based research on the role of organized community and DOTS underway
The BDN provides a platform for community organization and mobilization for action • DOTS being integrated into local community- development interventions of the BDN • Women development committees established at grass root level • Women health volunteers trained on home health care/PHC knowledge and skills • Community contribute to PHC/DOTS implementation • Local committees provide social support to TB patients (counseling, showing compassion, at times financial support etc.)
Bridging gap between communities & Health FacilitiesLady health workers (NPFP&PHC) • Community participation • Expanding Family Planning Services • Integrating existing Health Care delivery Programs EPI, TB, Malaria • DOTS supervision average of 2 patients per year.
Community Perception & Mobilization • Most communities knew their LHW, knew that she was working as a LHW & believed that women are respected as LHW • Only one quarter of health committees and one third of women’s health committees had undertaken any activity to improve health in the preceding year Quantitative Survey Report Oxford Policy Management 2002
Population Coverage • Target Population 80 million • No. of LHWs 74,000 • Ratio of LHW : Population 1:1 000 • TB utilization rate 50%
LHWs Supported DOTS in Seven Districts • PATIENTS REGISTERED Q1 & Q2 2002 • Total Patients : 1260 (F: 623 M: 637) • Supported by LHWs : 575 • Supported by Others: 685
Conclusion • GO to LHW • TB/BDN pilots should be documented,evaluated