child survival & health rights_khrist roy_10.14.11

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2002, CARE USA. All rights reserved. DOTS TB Patients Panchayati Raj & RNTCP Initiative to Manage People Centered Alliances in Control of Tuberculosis (IMPACT) CARE India (West Bengal) Khrist Roy CORE Group Washington DC 14 October 2011

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Page 1: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2002, CARE USA. All rights reserved.

DOTS TB PatientsPanchayati Raj &

RNTCPInitiative to Manage People Centered Alliances

in Control of Tuberculosis (IMPACT)

CARE India (West Bengal)

Khrist Roy

CORE GroupWashington DC 14 October 2011

Page 2: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

IMPACT Project Area

Page 3: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Partners of IMPACT

India’s Revised National TB Control Program (RNTCP),

Bengal Network of Positive people (BNP+)

Corporate partners – Eli Lilly

National AIDS Control Program (NACP)

Partner NGO- GLRA & SHIS

Local NGO partners

Page 4: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Problems with Compliance

Page 5: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Page 6: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Page 7: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Welfare Schemes Identified to aid TB patients

Identification of GOI and GOWB welfare schemes that could possibly be channeled to benefit the poor TB patients

GP – educated and encouraged to use mechanism of these schemes to give benefits to TB patients. Different GPs used different schemes

1) Antyodya

2) Backward Region Grant Fund

3) 12th Finance Commission Fund

4) National Rural Employment Guarantee Scheme

5) Panchayat Rogi Kalyan fund and Economic Rehab fund

Page 8: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Results

Page 9: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Results

1054

310

728

423

934

Bardhaman Haora Hugli Malda Mursidabad

Poor TB Patients linked up with Social welfare schemes(till March 2011)

3449 TB patients linked up

Page 10: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Improved Treatment Success Rates

District Name

Patient Type Number Registered for 2009/2010

Numbers who received PRI help

TSR for those who received PRI help

TSR for those who did not receive PRI help

Bardhaman New 3945 711 648 (91%) 3381 (86%)

Retreatment 840 190 154 (81%) 302 (70%)

Murshidabad New 1648 253 238 (94%) 1465 (88%)

Retreatment 391 61 51 (83%) 291 (74%)

Page 11: Child Survival & Health Rights_Khrist Roy_10.14.11

© 2005, CARE USA. All rights reserved.

Success

1) Central TB Division, GOI, New Delhi – Acknowledges success and shares it country wide for possible replication.

http://www.tbcindia.org/pdfs/RNTCP%20TB%20India%202011.pdf2) GOWB State TB Officer has issued GO for non-

CARE districts to adopt this measure3) CARE using this method for MDR-TB patients