GLOBAL FUND TB | Programs

Category: Ongoing Programs

GLOBAL FUND TB
GLOBAL FUND TB Goal: To accelerate the reduction of TB, Leprosy and lung disease burden through provision of people centered, universally accessible, acceptable and affordable quality services in Kenya.
  1. To sustain the gains in the context of newly devolved health system.
  2. To intensify efforts to find “missing” cases.
  3. To reduce transmission.
  4. To prevent active disease and morbidity.
  5. To enhance the quality of care for chronic lung diseases.
Strategies:                                   
  • Improving /increasing case finding and notification of TB cases from health facilities through adoption of new programmatic approaches including proactive case detection/screening in facilities; optimization of Gene Xpert usage and strengthening of the community referral system
  • Setting realistic MDR targets and support for MDR TB patients to allow adherence to treatment
  • Strengthening TB/HIV coordination at county and national level to improve efficiency in utilization of resources.
  • Under RSSH, strategies will aim at strengthening of PSM for health products under the devolved system of governance; strengthening of data systems with a focus at the county level; integrated service delivery through ICCM at community level, including RMNCH services and community system strengthening which will build capacity to support a community response to HIV, TB and Malaria in an integrated and aligned manner
Supported activities
  1. Sensitization of CHVs in community TB (Contact tracing, screening defaulter tracing, community screening)
  2. Facilitate CHVs to conduct active contact screening
  3. Facilitate CHVs to conduct active Contact screening of households of children under 5
  4. Facilitate HCWs to conduct tracing of treatment interrupters - Airtime
  5. Facilitate CHVs to conduct tracing of TB treatment interrupters
  6. Support for MDR champions to work at sub county level
  7. Conduct sensitization  for CSOs members in 10  counties with the highest burden of TB, HIV and malaria on Domestic Resources for Health
  8. High Level Engagement of National and County Legislators through community led social mobilization campaigns in 10 counties to include domestic resource mobilization for health
  9. Provide technical assistance to CSO networks and champions on policy assessment, analysis, negotiation and engagement
  10. Consultative meeting to develop criteria and identify  County champions for all 3 diseases ( 3 champions per county for the three diseases)
  11. Retain national and county champions  : Media engagement and Mobilization
  12. Sensitization of 30 community champions (HIV, TB and Malaria ) on the diseases
  13. Conduct a CSO capacity assessment for targeted counties
  14. Conduct a training on Organization Development and Systems Strengthening
  15. Adaptation of CAPR tool to include TB and Malaria for CSO reporting.
  16. Printing of CAPR Tool
  17. Dissemination meeting for CAPR tool
  18. Engagement of three CHVs/linkage assistants to support ACF process  in high volume facilities
  19. Support for monthly facility-based ACF meetings
  20. Sensitization of PLHIV  and CHVs on active TB Case Finding, HIV testing , Isoniazid, Human rights and patients’ rights for demand creation
  21. CHEWs Support supervision to CHVs TB & HIV activities:- CHEWS airtime
Coverage: Busia, Migori, Siaya and Turkana Counties
Population: The community, People with TB disease
Timeframe: July 2018 to June 2021
 
  1. To sustain the gains in the context of newly devolved health system.
  2. To intensify efforts to find “missing” cases.
  3. To reduce transmission.
  4. To prevent active disease and morbidity.
  5. To enhance the quality of care for chronic lung diseases.
Strategies:                                   
  • Improving /increasing case finding and notification of TB cases from health facilities through adoption of new programmatic approaches including proactive case detection/screening in facilities; optimization of Gene Xpert usage and strengthening of the community referral system
  • Setting realistic MDR targets and support for MDR TB patients to allow adherence to treatment
  • Strengthening TB/HIV coordination at county and national level to improve efficiency in utilization of resources.
  • Under RSSH, strategies will aim at strengthening of PSM for health products under the devolved system of governance; strengthening of data systems with a focus at the county level; integrated service delivery through ICCM at community level, including RMNCH services and community system strengthening which will build capacity to support a community response to HIV, TB and Malaria in an integrated and aligned manner
Supported activities
  1. Sensitization of CHVs in community TB (Contact tracing, screening defaulter tracing, community screening)
  2. Facilitate CHVs to conduct active contact screening
  3. Facilitate CHVs to conduct active Contact screening of households of children under 5
  4. Facilitate HCWs to conduct tracing of treatment interrupters - Airtime
  5. Facilitate CHVs to conduct tracing of TB treatment interrupters
  6. Support for MDR champions to work at sub county level
  7. Conduct sensitization  for CSOs members in 10  counties with the highest burden of TB, HIV and malaria on Domestic Resources for Health
  8. High Level Engagement of National and County Legislators through community led social mobilization campaigns in 10 counties to include domestic resource mobilization for health
  9. Provide technical assistance to CSO networks and champions on policy assessment, analysis, negotiation and engagement
  10. Consultative meeting to develop criteria and identify  County champions for all 3 diseases ( 3 champions per county for the three diseases)
  11. Retain national and county champions  : Media engagement and Mobilization
  12. Sensitization of 30 community champions (HIV, TB and Malaria ) on the diseases
  13. Conduct a CSO capacity assessment for targeted counties
  14. Conduct a training on Organization Development and Systems Strengthening
  15. Adaptation of CAPR tool to include TB and Malaria for CSO reporting.
  16. Printing of CAPR Tool
  17. Dissemination meeting for CAPR tool
  18. Engagement of three CHVs/linkage assistants to support ACF process  in high volume facilities
  19. Support for monthly facility-based ACF meetings
  20. Sensitization of PLHIV  and CHVs on active TB Case Finding, HIV testing , Isoniazid, Human rights and patients’ rights for demand creation
  21. CHEWs Support supervision to CHVs TB & HIV activities:- CHEWS airtime
Coverage: Busia, Migori, Siaya and Turkana Counties
Population: The community, People with TB disease
Timeframe: July 2018 to June 2021