Two Abstract selected in 50th World Lung Conference at Hyderabad, India

We are pleased to state that 2 (two) of the Abstracts,  concept note submitted by our team for 50th World Lung Conference were selected for presentation at the Conference.

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Category 2: Public Health Practice

TRACK E: POLITICS, CIVIL SOCIETY AND HUMAN RIGHTS

E2. Key affected populations: Behavioural, social, and cultural issues and contexts

Title: Way out towards active case finding in Key affected populations (KAP ) Area

Author: Deepak T; Sr. Nirmala Mulackal2;Selma R3 ; Fr.Mathew Perumpil.4

Institutions- CBCI-CARD

Background challenges to implementation:  Case finding and treatment of TB disease are the principal means to cut off the chain of transmission and reduce incidence. The most important is to select right area of intervention. Correct identification of Key Affected population is one of the major challenges to implementation.

 Intervention or response: In Axshya Project to identify the presumptive TB patients our first intervention step is mapping of KAP area i.e, Key Affected Population which is categorized in 8 categories and one in General category. Through Various activities such as Axshya SAMVAD (Sensitization and Awareness in Marginalized and Vulnerable Areas of the District), Active community surveillance unit, Health camp and Fast tracking intervention in District hospital work towards active TB case finding. This intervention is being done in 28 districts of 4 states where CBCI-CARD is present. We are identifying PTBP and TB cases  through Axshya project activity in different KAP Area. From the data given below and the percentage of positivity prevalent from each of the Four activity it is clear that testing the close contacts of the TB patients from hard to reach areas there are chances of getting maximum number of positive cases.

Results and lessons learnt: From January 2018 to December 2018, from  different KAP  about  42,860 PTBPs tested   5,531 cases were identified. Out of which 37.24% cases, 35.13%, 7.74% and 5.66 %TB diagnosed through Contacts, DH, Tribal and Hard to Reach KAP respectively. Other KAP 4 KAP having less than 5% TB diagnosed also General KAP having 8.82% TB diagnosed. 

Conclusions: Among all 8 Key affected population area, ‘Contacts’ are  most vulnerable area to identify the TB patients in Rural . Also the fast tracking activity in the District hospital is a  very effective intervention to find and diagnose the TB cases.

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Category 2: Public Health Practice

TRACK E: POLITICS, CIVIL SOCIETY AND HUMAN RIGHTS

E2. Key affected populations: Behavioural, social, and cultural issues and contexts

Title: Supporting TB patients through vocational training For Their Livelihood

Author: Lawrence Raibole;   Sr. Nirmala Mulackal2;Selma Robert ; Fr.Mathew Perumpil

Institutions- CBCI-CARD

Background Challenges to Implementation

 

One of the social protection mechanisms for combating poverty and for sustainable social and economic development is vocational education and training. Families of the TB patient usually experience severe economic barriers to Healthcare and other household activities especially if the TB patient is the sole bread earner for the family. These barriers can aggravate economic hardships. The main challenge of TB patient is to earn income while suffering from TB.

Intervention or Response

Tuberculosis patients & their family members had been given free training for livelihood upliftment imparted by Jogni under project Axshya CBCI-CARD with an aim to make the patients & their family members self – dependent on financial ground. These patients belonged to KAP area. The training was given in four trades that are Stitching & Tailoring, Electrician, and Certificate in Computer Application & Driving.

 

Result & Lessons Learnt

A great impact is seen in all the trainees after vocational training & financial aid initiated by CBCI- CARD.

For example there is a story of Mr. Suneel Prajapati who has done training in driving trade he has also purchased a second hand car and now is earning around eight thousand per month. Like that there are several success stories, the beneficiaries have started earning again & serving their families. The impact of vocational training plays a vital role and changed the life of TB patient.

 

Conclusion

This vocational training was designed to create skilled manpower that in turn helps in the financial development and freedom of the TB patients and their families. For a TB free world the patients themselves and their families need to be empowered and it can be done through good education and vocational training.

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