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Involvement of Community
One of the Key components of the global strategy to stop TB is “Empowering people with TB and community”. RNTCP effectively contributes in empowerment of TB patients and community through:
- Systematic strategy of Advocacy Communication and Social Mobilization
- Patient-provider meetings
- Community meetings
- School activities
- Sensitization meetings for doctors, members of the PRI etc.
- Outdoor publicity
- Involving community in DOT provision (ASHA, Anganwadi worker and community volunteers)
- >25% TB patients in the state receive treatment through a community members
- Honorarium of Rs.250 Paid for every successfully treated patient
- Involving community members in sputum transport and patients support in tribal areas (Tribal Action Plan)
Expected Community Participation
1) Community Participation as a DOTS Provider in RNTCP
Navi Mumbai Municipal Corporation
Mr. Prem a 35 year old shopkeeper runs his Pan House at Nocil Naka Ghansoli which is a slum pocket under Urban Health Post Ghansoli. He started assisting the programme from beginning i.e.2001 and is one of our best DOTS provider till date. Prem has good knowledge in observing treatment. As a local person patients have respect for him and generally do not miss doses because his shop remains open from morning 6AM to 10 PM. He actively takes part in defaulter retrieval mechanism. Out of 58 patients of all categories at his center 50 patients have successfully completed treatment till date. He was selected our best DOTS provider for the year 2003.
2) Community Participation as a DOTS Promoter in RNTCP
Nashik District
Mr. Renukadas Manthekar, aged 50 years, residing at Tryambakeshwar, Dist., Nashik is working as a lifeguard at Kushavart lake. He was diagnosed as suffering from tuberculosis 3 years back and was registered and given DOTS treatment at Rural Hospital Tryambakeshwar. Now he is completely cured and is acting as DOTS promoter.
Every year, lakhs of people visit the Kushavart lake. Renukadas guides them over a loudspeaker and gives them instructions regarding swimming and bathing in the waters. Along with these instructions, he also gives them information regarding TB and DOTS. He actively takes part in case detection by sending tuberculosis suspect cases to the Rural Hospital for confirming diagnosis and putting on DOTS. Due to his efforts, 12 patients suffering from tuberculosis have successfully completed treatment till date.
Involvement of NGO and private practitioners in RNTCP
It is necessary for all medical practitioners including the Government, Private and those in NGO to follow a uniform guideline to diagnose and treat tuberculosis. The design of RNTCP is such that it adheres closely with the International Standards of TB care (ISTC) which are formulated for TB care. Hence participating in RNTCP is equivalent to adhering ISTC.
RNTCP offers various avenues for private and NGO facilities to participate in the programme. A series of schemes is designed to fit different agencies according to their area of expertise. RNTCP provides some incentives along with all the required materials.
Revised Schemes for Involvement of NGOs and PP in RNTCP
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- ACSM Scheme: TB advocacy, communication, and social mobilization
- Scheme for Sputum Collection
- Transport Scheme: Sputum Pick-Up and Transport Service
- DMC Scheme: Designated Microscopy Cum Treatment Centre (A & B)
- Designated Microscopy and Treatment Centre for a NGO/Private lab
- B.Designated Microscopy Centre - Microscopy only
- LT Scheme: Strengthening RNTCP diagnostic services
- Culture and DST Scheme: Providing Quality Assured Culture and Drug Susceptibility Testing Services
- Adherence scheme: Promoting treatment adherence
- Slum Scheme: Improving TB control in Urban Slums
- Tuberculosis Unit Model
- TB-HIV Scheme: Delivering TB-HIV interventions to high HIV Risk groups (HRGs)
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