Tuberculosis is the world's largest  public health epidemic and India bears a disproportionately large burden, accounting for 26% of the world’s TB cases. It remains one of the principal challenges on India's health and wellness scale. India is the highest TB burden country in the world and World Health Organisation (WHO) statistics for 2011 give an estimated incidence figure of 2.2 million cases of TB for India out of a global incidence of 8.7 million cases.  Among 2.2 million TB cases, an estimated 1 million cases are missed yearly in India. 

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Addressing this overwhelming encumber of TB infected population, Humana People to People India (HPPI) joined hands with The International Union against Tuberculosis and Lung Disease as an implementation partner in the project AXSHYA - Phase III, in March 2016.

The overarching objectives of the project Axshya are to support Government of India’s Revised National Tuberculosis Control Programme (RNTCP) to expand its reach, visibility, and effectiveness, and to engage community-based providers to improve TB services, especially for women and children, marginalized, vulnerable and TB-HIV co-infected populations. Its guiding principles are a promotion of universal access to quality TB care, community participation, sustainable interventions, and equitable distribution with gender and social sensitivity.

The core activities of HPPI as implementing partner of Axshya are:

a) To establish and manage Axshya Kendras (kiosks) for provision of medical treatment to TB patients (DOT – Direct Observed Treatment), and 

b) Household sensitization of community through Axshya SAMVAD (Intensified Outreach activities), identification of TB symptomatic and referral to the health centers, follow-up on TB symptomatic and ensuring that all referrals made reach Designated Microscopy Center (DMC) and get tested.

Since March 2016, HPPI has organized volunteers to work at Axshya Kendras in Narela, Shastri Park, Gokulpuri, Shahdara, Himmatpuri, Malviya Nagar, Saket, Nangloi, Dwarka Sector 8 and Dwarka Mor during morning and evening hours to facilitate treatment to patients. The Axshya Kendras provide ‘flexi DOT’ services which facilitate flexible hours and treatment to the patients. These flexi-DOT centers make their services available before and after normal work hours from 6-9 am and again from 3–9 pm so that TB patients can have their medicine before or after their work or school hours. These Axshya Kendras are established within the premises of existing Chest Clinics, DOT Centres and dispensaries.

 

Humana People to People India (HPPI) other TB interventions include detecetion and management of TB in selected areas of the country through community mobilization and engagement activities. To achieve this, HPPI’s ongoing health & development projects have been presently linked with the local TB care services in places like Delhi, Haryana, Uttar Pradesh, Bihar, Madhya Pradesh and Rajasthan with a specialized initiative named as “Integration of Tuberculosis Control with the existing health & development projects of HPPI.” The project has recently been launched with the TB orientation training of the project leaders of the existing health & development projects of HPPI.

It aims to mobilize stakeholders and develop tools to detect and treat TB in their community by endowing them with appropriate knowledge and skills, to promote open communication and participation in the proposed TB care program and to conduct awareness drives for better understanding of TB and its treatment challenges.

Since HPPI’s TB integration project will work in 20 projects across six different states, community engagement strategy will vary from region to region and individualized approach will be taken to ensure each program is best suited for the local community. Keeping these considerations in mind training program of project leaders has also been devised and imparted.

The four pronged approach of HPPI’s TB care program will include:

  1. Diagnoses: Deploy rightful technical knowledge to project managers to make early identification of the TB presumptive cases in the community and ensure their testing for TB in the Revised National TB Control Program(RNTCP) labs
  2. Treatment: Establish timely linkage of the detected TB patients to receive early treatment from RNTCP
  3. Record: Notify and record all patients diagnosed with TB
  4. Awareness: Socially mobilize communities by generating awareness and disseminating information about disease: its causes, symptoms and cure including minimization of myths, misconceptions and stigma around TB

The beneficiaries of this project will be high-risk and vulnerable groups like slum-dwellers, homeless people, female sex workers, drug users, migrants, villagers residing in tribal and hard-to-reach villages, people living with HIV & AIDS, trafficked women and under-privileged children who are currently being covered under the health cum HIV and development projects of HPPI.

The chief principle of these initiatives is to align with the goals of Revised National TB Control Program (RNTCP) and take huge strides towards reducing mortality and morbidity owing to TB. These achievements will also be in line with millennium development goals.

Addressing this overwhelming encumber of TB infected population, Humana People to People India (HPPI) joined hands with The International Union against Tuberculosis and Lung Disease as an implementation partner in the project AXSHYA - Phase III, in March 2016.

About HPPI

Humana People to People India is a development organization registered as a not-for-profit company under section 25 of the Companies Act, 1956 as of 21st May 1998. It is a non-political, non-religious organization. Its mission is to unite with people in India in order to create development in the broadest sense through the implementation of the projects that aim at transferring knowledge, skills and capacity to individuals and communities who need assistance to come out of poverty and other dehumanizing conditions.

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Humana People to People India
111/9-Z, Kishangarh, Aruna Asaf Ali Marg,
Vasant Kunj, New Delhi-110070 Tel: 011-4746-2222
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