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Impact of Community Health Workers on TB Outcomes in Kirinyaga Central District

Explore the positive effects of community health workers on TB outcomes in Kirinyaga Central District, Kenya. Community involvement enhances TB control, prevents defaulters, and decentralizes services, reducing the burden on health staff. Findings show significant improvements in TB treatment outcomes with the support of CHWs.

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Impact of Community Health Workers on TB Outcomes in Kirinyaga Central District

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  1. IMPACT OF COMMUNITY HEALTHWORKERS SUPPORT ON TB OUTCOMES IN KIRINYAGA CENTRAL DISTRICT MWENDA F District TB & Leprosy coordinator Kirinyaga district, Kenya ISC-IPNET-K/ICAN CONFERENCE 6-8TH NOV 2013, SAROVA WHITE SANDS BEACH RESORT & SPA, MOMBASA, KENYA

  2. INTRODUCTION • TB remains a great challenge in Kenya despite much efforts made by the Government. • Strict DOT’s is observed which has burdened health staffs. • Poor adherence to TB medication is a hindrance to effective TB control. • Community strategy introduction ensures that the community is actively involved in health activities. • CHW support came from GF through CSO’s- KEC & NAWHO.

  3. Map of Kenya showing study area Eastern • Kirinyaga County is located between latitude 1°and 40° south and longitude 37° and 38° East. • It has a surface area of 1,478km2 which is 11.2% of former Central Province and 0.3% of Kenya. • Kirinyaga had the highest defaulter rate low cure rate for TB in central province Rift Valley Western Central Nairobi Coast

  4. OBJECTIVE • To demonstrate that community involvement and support is key to TB control.

  5. METHODS • Community involvement in TB care was enhanced by formation of community units in 2008. • Training of C.H.E.W.’s(Community Health Extension Worker) and C.H.W’s(Community Health Worker) was done in the district with the DTLC actively involved. • TB disease was also covered in these training through sponsorship of various partners. • The CHWs assisted in offering DOTs, sputum collection from MDR TB suspects, health education on TB, contact and defaulter tracing. • Good record keeping was also done.

  6. CHEW AND CHW ATTENDING A NEW TB PATIENT

  7. RESULTS

  8. CONCLUSION • Community involvement improves TB outcomes • Community involvement helps in preventing defaulters. • Enhances decentralization of services and reduce heavy work load among the health workers. • Can be replicated in other Districts with support of CHWs at minimal additional costs.

  9. Recommendations • Support/motivation of CHWs can improve TB control at the community level. • There is need to broaden the CHW training to maximize their services on TB management. • Every TB treatment centre needs to have at least one CHW.

  10. Asante Sana <insert picture of CHW on the clinics here>

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