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By World Health Organization

This publication is directed in particular to nationwide TB keep an eye on courses and their companions. it really is meant to aid to pick and enforce the stairs had to make sure that the guiding rules of fairness and poverty relief are translated into useful measures - and that those sensible measures are built-in into the nationwide TB companies and associated with broader poverty relief efforts. counsel is equipped on the best way to determine the bad and weak teams within the state, tips on how to examine the most obstacles they face in gaining access to TB prone, and interventions to take on and decrease those obstacles. attention is given to strengthening the assets had to enhance fairness in entry to TB prone and the way to evaluate the influence of the pro-poor measures followed. The measures defined during this ebook are in accordance with most sensible practices derived from an expanding array of cutting edge measures taken by means of TB keep an eye on courses and different well-being companies in a few international locations.

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Additional info for Addressing Poverty in Tb Control: Options for National Tb Control Programmes

Sample text

DOT for patients with limited access to health care facilities in a hill district of eastern Nepal. International Journal of Tuberculosis and Lung Disease, 2001, 5(8):732–40. CHAPTER 3 | 31 Chapter 3 Potential actions for overcoming barriers in accessing TB services This chapter proposes a range of potential actions to overcome the most common barriers faced by poor and vulnerable population groups in accessing TB services, as described in Chapter 2. • The pathway to diagnosis and cure can be curtailed by: bringing TB services close to homes and workplaces; offering treatment observation options to reduce costs to patients; engaging communities, nongovernmental organizations and other partners, such as private health providers and employers, in TB service delivery through carefully designed, pro-poor public-private mix for DOTS (PPM) and TB control initiatives in the workplace; and improving health system responsiveness through staff training, discouragement of discriminatory practices, incentives to encourage better staff performance, quality assurance, information exchange and empowerment of patients.

Perception of the quality of health-care services plays a crucial rule in the public’s trust and use of the services. Special attention should be paid to the development of communication skills of the health-care staff. Training in effective communication should be included in training curricula (for example by introducing role play and group discussion in the training of staff). Supervisors should monitor the effectiveness of staff communication with patients during their visits to TB facilities.

Motivation of staff is a key factor in their performance. Incentives may be introduced to reward performance, such as the possibility to attend training courses, performance-based salary payments, or other measures which may be considered. Giving a voice to the poor. It is important to seek and understand the views of the poor about service provision. Encouraging demand for services from poor communities will be an important driver of change, and feedback loops should be established from the communities and peripheral staff to and from the central/regional national TB control programme.

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