| Community Contribution to Tuberculosis Prevention and Care – Together We Can |
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| Wednesday, 24 December 2008 12:00 |
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There is a long history of documented linkages between tuberculosis (TB) and low living standards. Reducing TB in a community is an essential measure to improve the socio-economic situation and livelihoods.
However, most interventions have so far focused only on the health aspect of the problem rather than a combination of socio-economic and health approaches involving the communities themselves.In 2005-2006 the Enhancement of Living Standards (ELS) project, which was co-funded by EC and UNDP and implemented by UNDP, accomplished a project with the aim to improve the welfare of the poor in the region. Out of the 50 rural communities where the project operated, 12 communities identified TB as the main problem hampering their socioeconomic development. In order to address this concern the ELS project carried out a community-based project with the objective to improve TB management and care through community contribution. To further address this pressing concern and to strengthen the community involvement in their socio economic development UNV in Uzbekistan has jointly with UNDP envisaged a programme to mobilize local volunteers at district and village levels in Karakalpakstan. This programme will support the communities to report cases of early symptoms of TB, disseminate information on TB, conduct advocacy activities (e.g. against discrimination towards TB patients), and undertake small-scale project initiatives to address living standards. The TB project action plan will be developed in coordination with national and local stakeholders and will include baseline and target setting, direct observation of therapy (DOT), addressing stigma and gender equity. As a result of the TB programme more than 500 local volunteers will be trained to support their communities in addressing TB. It is also planned to rehabilitate primary healthcare and basic service infrastructures with support of local volunteers and donors.
This will be a unique project in Uzbekistan and the experience and lessons learned will be important for all those working in community development for poverty reduction and innovative systems of TB management and care in Uzbekistan. In this way, TB prevention and care serves as entry point, with the potential to expand the community mobilization approach to tackle other development issues. Because of its volunteer focus and community involvement, the project will offer a good platform for UN agencies and other interested donors to gather efforts and bring several advocacy activities at the community level, such as good nutrition, reproductive health, environmental education, and prevention of HIV/AIDS. It provides a forum for donors’ coordination and exchange with UN agencies and has a potential for joint UN programming. |