Digital Platform to facilitate Community Based Monitoring for TB - - PowerPoint PPT Presentation

Digital Platform to facilitate Community Based Monitoring for TB response in Tanzania

Community-based monitoring

Engaging TB patients and the affected communities to report the barriers they experience, to strengthen the TB M&E system, improve the responsiveness, equity and quality of TB services and hold TB service providers to account. (Global Fund, STP , DRC)

End TB Strategy Global Plan to End TB Investing to End Epidemics TB & Human Rights Briefing Note

04 TB & Human Rights

• Person and affected

communities placed at the center as equal partners

Al Alignment

Problem Statement

In Tanzania there is no systematic or real time (timely) data collection of barriers that prevent people from accessing TB services and completing TB treatment (i.e. the missing people with TB) As a result Ø Care and Support

Ø Responses that address the barriers to access are late (e.g. drug stock outs, which can lead to treatment interruptions even death)

Ø Monitoring, Surveillance, Advocacy and Engagement

Ø Community advocacy is not evidence based Ø Evaluating services is difficult due to the absence of data Ø Limited engagement and feedback mechanism between CS/CG/TB-Patients and key decision making platforms (NTLP, TNCM, MoH, TAMISEMI)

Ø Programmatic Management of TB

Ø Planning is uninformed and does not respond the problems faced by those vulnerable to, at risk of and with TB Ø It is difficult to justify a multi-sectoral approach, that links people to appropriate services

OneImpact CBM Intervention Objectives

OneImpact App – empowering people with information about TB, with ways to connect to a community and to report problems within an accountability framework

Stop TB Partnership OneImpact Digital Platform to facilitate CBM

Patient APP Community Health Worker Inbox Multi-stakeholder Accountability Dashboard

MKUTA/ CS/CG Constituency

CHWs Respond – link patients to relevant services to ensure treatment adherence

MKUTA / CTT supported by EANNASO

National TB Program and the Tanzania National Coordinating Mechanisms surveil and use data for programmatic decisions

Health Services

People Report Problems

OneImpact CBM Accountability Framework

TB Patients

Lead CBO/Country Task Team monitors & reports barriers to access (for advocacy) NTLP/ TNCM /TAMISEMI

Care and Support Services for People with TB Monitoring, Surveillance, Advocacy

Surveillance, Programmatic Response

Innovation and Strategies

Interconnected digital solutions

• 1. Patient App (free)
• 2. Community Health Worker Inbox
• 3. Accountability Dashboard

Community-led advocacy to obtain buy-in from NTP and other strategic partners (e.g TNCM) who; ◉ Endorse, approve and support the pilot and scale-up of the intervention (Global Fund, USAID, WHO, CORDAID, Global EGPAF, Stop TB DRC, UCOP+, LNAC, Fondation Femme Plus) Generates strategic information to inform human rights and gender responses to TB

Digital Solutions CRG Strategies Implementation Science Approach

Learning as we go

Implementation

Site ◉ Kigoma Ujiji (District) ◉ 8 health centres /hospitals to be engaged (Bangwe, Baptist, Buhanda, Gungu, Maweni Hosp, Rusimbi, S.D.A, Ujiji) ◉ Target 122 of patients ◉ 17 CHWs engaged and to be trained ◉ Partners involved (NTLP, MKUTA, TAMISEMI, TNCM, CTT, TTCF, EANNASO)

Targets ◉ Usability (patient care) ○ 100% active App users ○ 85% of active App users satisfied with the App ◉ Efficiency (patient care) ○ 85% community response implemented within 72 hours ○ 85% of active App users satisfied with the response ◉ Programmatic (monitoring, surveillance, advocacy) ○ 1 report / month with information on drug stock outs, stigma, treatment interruptions, accessibility and quality of services ◉ M&E ○ Report on feasibility of using the App, its usability, acceptability, scalability and any resulting social change documented.

• Drug stock out
• Side effects
• Stigma
• Access to TB services
• Quality of services
• Treatment interruption
• Out of pocket expenses
• other

◉ Barriers reported ◉ Frequency of occurrences ◉ Location of occurrences ◉ Time of occurrences Immediate response Long term data for programmatic action Programmatic indicators to be monitored

◉ Conducted community stakeholder workshop and developed content with the communities. ◉ Developed the dashboards for data collection, reporting and training materials ◉ Approval from relevant government authorities § MoH § Local Government Authority (TAMISEMI)

Implementation

Implementation Science Implementation Phases*

*Follows the WHO Handbook on Digital Technologies for TB Aligns with End TB Strategy, Global Plan to End TB, STP TB and Human Rights Information Brief

Thank You