To develop a policy environment for bidirectional screening of TB/DM
To build the capacity of health care professionals in advocating, planning and implementing integrated TB and DM Management
To increase awareness among diabetes and TB patients regarding the need to screen for TB and DM.
To establish a clinical registry for DM and contact investigation for use by health care practitioners
To screen TB patients and their household contacts for diabetes mellitus in areas with poor access to health care.
The project intervention will begin by engaging existing governmental technical working groups, and developing and refining training guidelines and educational materials.
Following this preparation, a combined face-to-face and online training course consisting of three modules in advocating, planning and implementing integrated TB and diabetes management will be developed by the collaborating partners. The training course will include a pre-testing module.
Capacity of HCPs at the targeted primary care units will be built through training in the three modules. Monitoring of training will be done through on-site supervisions.
Two pronged screening modalities will be rolled out as follows: i) Screening of registered TB patients at targeted health facilities and ii) screening of household contacts of TB patients.
In addition to the screenings, community mobilisation and sensitisation will be carried out through tailor-made press statements and through social media, based on quantitative research such as focus group discussions and interviews.
Finally, an online patient database / registries and reporting systems within both public and private health care facilities will be developed to enhance management and follow-up, with subsequent training of previously trained HCPs. The database and registries will be aligned with government HMIS.
- 623 HCPs trained (two TB health workers and one nutritionist from each PHC unit)
- More than 3,000 newly diagnosed TB patients screened for diabetes
- More than 4,000 TB household contacts screened for diabetes
- Approximately 630 diabetes patients registered and managed