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WHO/CDS/TB/2002.302
BV Sharma, Senior Lecturer, Department of Anthropology,
University of Hyderabad, Hyderabad, India
The "Community-based TB Care in Africa" project was launched in 1996 and has been coordinated by WHO. The project set out to evaluate how communities can contribute to TB care in countries where HIV is highly prevalent and fuelling the TB epidemic, with the result that government health facilities may be failing to cope with increased TB case rates. Three aspects of these projects have been studied: effectiveness (TB programme performance), acceptability, and cost-effectiveness. Well-documented experiences from 8 district-based projects in 6 African countries using diverse approaches to provide community-based TB care were presented in a "lessons learned" workshop in 2000.1
Many Asian countries have a long experience of community contribution to TB care, but the documented experience in countries in Asia is scanty. WHO commissioned a study of examples of community contribution to TB care in Asia, comprising a literature review and field visits to sites selected in consultation with WHO regional and national level staff. This report describes the results of the study.
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http://www.who.int/gtb/publications/communityTBcare/TB-2002-302.pdf
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