community based approach for tuberculosis control reaches the poor and disadvantaged in remote rural communities which could not be reached by the health system otherwise. It reduces the extra cost incurred by patients reduces stigma and increases uptake to contribute to health and well being. The project detects patients as early as possible which is two weeks for tuberculosis as opposed to cases which come too late after months of symptoms. It ensures treatment in the community.
Ethiopia stands among the countries with high TB related morbidity and mortality. Patients make repeated visits to complete diagnosis. This process is onerous especially for rural populations, women, children, elderly and patients with disabilities. Geographic accessibility, socioeconomic and cultural barriers affect health seeking behavior and increase out of pocket expenses. The project will conduct house-to-house visits to identify patients and treat them in the community.
The project will conducted house-to-house visits as part of the routine community-based activities to identify individuals with symptoms of TB (cough for two or more weeks), collected sputum samples and prepared and fixed smears. Then, HEWs contacted supervisors by telephone to collect and transport smeared slides to laboratories for smear microscopy. Supervisors initiated treatment for smear-positive cases in the community which improves early case finding and reduce morbidity and mortality.
The project identifies TB cases and provides treatment in the community. It also screens contacts of index cases for active disease, HIV patients and community members at high risk. In addition, it provides preventive therapy for children, This contributes to improve early case finding which contributes to reduce morbidity and mortality from TB when appropriate treatment in given. This will reduce transmission and which will contribute to long term sustainability due to created awareness.