ADVOCAY, COMMUNICATION AND SOCIAL MOBILIZATION FOR TB CONTROL PRACTIVAL EXAMPLE FROM GEORGIA

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ADVOCAY, COMMUNICATION AND SOCIAL MOBILIZATION
FOR TB CONTROLPRACTIVAL EXAMPLE FROM GEORGIA
Third Regional Meeting of the Global Fund For
the Countries of Eastern Europe and Central
Asia Tbilisi, Georgia, 17-19 September 2007

• NINO MDIVANI, MD
• Georgia Health and Social Projects
• Implementation Center
• TB Project Coordinator

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NTP Challenges

• Poor case finding - 50 case detection rate in
  2003
• Poor Treatment adherence treatment success rate
  67 and default rate -18 in 2003

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ACSM could increase the case detection and cure
rate by 5-10!
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Mobilizing political commitment and resources for
TB

• CCM, chaired by the First Lady of Georgia,
  became a functional body for coordinating
  different programmes in the field of AIDS, TB and
  Malaria control
• Domestic Expenditure for TB Control have been
  increasing
• Although TB control is fully under responsibility
  of the Central Government, there is an evidence
  of increased commitment to TB control by the
  Local Governments
• There is an effective coordination and
  collaboration among partner agencies active in TB
  control (including ACSM activities), with the NTP
  leadership in the process

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TB communication in Georgia

• TB communication is an integral part of GFATM
  round 4 TB grant
• Consultant (Ms. Irina Zatusevski) visited Georgia
  In June 2005
• Conduct situation analysis
• Elaborate an IEC Plan
• KAP study results conducted by MSCI and Merlin

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Three main objectives of TB communication within
the GFATM project

• Increase public TB alertness, knowledge on
  benefits of timely detection, full and correct
  treatment of TB
• Decrease stigmatization of TB patients and their
  families
• Increase DOTS strategy awareness for health
  workers and improve coordination between PHC and
  TB services

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Communication for Improving case detection and
treatment adherence

• Main massages and information through IEC
  campaign
• Where seek health care when one has TB symptoms?
• TB care is free of charge
• TB is curable
• Symptoms of TB
• For patients and their families
• Importance of treatment completeness
• Information on drug-resistant TB

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Communication for Improving case detection and
treatment adherence

• Position of IEC specialists at NTP was created
• PHC doctors and nurses is provided with the TB
  training
• Interpersonal communication is included in the
  training curriculum for TB doctors, nurses and
  PHC staff
• Video clips were developed and broadcasted on TV
• Radio clips were developed and broadcasted
• Different sort of TB materials were developed
  and distributed
• Hot-line at NTP was created
• TB day is commemorated

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Preliminary Results

• Treatment success rate in 2006 72.3
• Default rate decreased till 13.5
• Case detection rate 110 (preliminary data)

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Thank You!