Community engagement in tuberculosis

Community Engagement in Tuberculosis EXAMPLES OF COMMUNITY BASED TB ACTIVITIES: “The people have the right and duty to participate individually and collectively in the planning and implementation of their health care.” Declaration of Alma Alta, September 1978. DEFINITIONS Community-based TB activities are conducted outside the premises of formal health facilities (e.g. hospitals and clinics) in community-based structures (e.g. schools and places of worship) and homesteads. Community health workers and community volunteers carry out community-based TB activities. Both can be supported by nongovernmental organizations and/or the government. Full definitions are available in ENGAGE-TB guidance. CORE INDICATORS Number and percentage of new patients with TB (all forms) diagnosed and notified who were referred by community health workers and community volunteers. Number and percentage of successfully treated new patients with TB (all forms) who received support for treatment adherence from community health workers and community volunteers. REPORTING TRENDS Number of countries reporting to WHO on core indicators. GLOBAL DOCUMENTATION OF COMMUNITY ENGAGEMENT 2013 2014 2015 2016 2017 2018 6113 22 41 49 53 Facilitating access to diagnostic services (e.g. referral; sputum or specimen collection and transport). Initiation and provision of TB prevention measures (e.g. Isoniazid preventive therapy, TB infection control). Treatment adherence support through peer support and education and individual follow-up. Social support and protection, livelihood support (e.g. food supplementation). FOR MORE INFORMATION: www.who.int/tb/areas-of-work/community-engagement/en/ WHO/CDS/TB/2018.35 - © World Health Organization 2018. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence. GAPS IN RECORDING AND REPORTING OF COMMUNITY INDICATORS IN NATIONAL DATA Countries implementing and reporting activities Countries implementing but not reporting activities N/A COMMUNITY ENGAGEMENT CONTRIBUTES TO UNIVERSAL HEALTH COVERAGE (UHC) Community Engagement is a cost effective intervention to improve health service coverage and deliver accessible and people-centred integrated care. THE ENGAGE-TB APPROACH Community-based TB prevention and care integrated with primary health care or similar initiatives. Close collaboration between national TB programme and community actors in planning, supervision and M&E is key. Core indicators tracked through national TB programme M&E system. E N G A G E -T B Training of community health workers and community volunteers Integrating community-based tuberculosis activities into the work of nongovernmental and other civil society organizations Facilitators’ guide Integrating community-based tuberculosis activities into the work of nongovernmental and other civil society organizations E N G A G E -T B Implementation manual Operational guidance E N G A G E -T B Integrating community-based tuberculosis activities into the work of nongovernmental and other civil society organizations E N G A G E -T B Curriculum and Facilitators’ Guide Integrating community-based tuberculosis activities into the work of NGOs and other CSOs Training Manual June 2014 ENGAGE-TB Out of 91 countries implementing community-based TB activities, one third (30/91) still have no data on the their contributions to TB outcomes. WHO Global TB Report 2018.