Outreach report
Introduction
NTP conducted an outreach activity to the most community affected TB, so is it
important to increase tuberculosis detection because Tuberculosis is a chronic
infectious disease that affects hundreds of people in Somaliland.
What are Tuberculosis Outreach Services?
Tuberculosis (TB) services provided by a mobile team of trained service
providers. Such services may be provided at:
Lower-level health facilities
Community-owned facilities such as IDP’s, Slums, etc.
In-reach services – when TB services are carried out within a health facility but
efforts have been made to scale up the service
The purpose of the Outreach
To improve access to diagnose and Treatment
To reduce delay diagnosis
To reduce TB prevalence in Somaliland
To reduce Transmission of TB
To increase detection of people with Tb and treat them
To reach the most vulnerable groups
To improve the health of individuals
To help all people suffer from diseases especially the most vulnerable who lack of
access to care
Outreach activities
Before starting the outreach activity we trained the staff from TB centers and TB
hospitals.
Then we create pre planning activities like meeting and all meetings happened
National TB office we discussed how this outreach become successful and we
selected areas where vulnerable groups resides like IDPS, host community and
slums
All so we create different teams from TB hospitals and centers every team is given
a target and its movement plan
NTP and MOHD have supervised this outreach
Selecting Sites for Outreach Services
• Factors to consider
o Population
o Location
o Amenities
o Personnel
o Mismatch between demand and supply
• Focusing Areas
•
• IDPS
• Host community
• Rural setting
• Prisons
• Crowded areas
Key Resources to Consider
• Trained staff
• Commodity/supplies availability
• Key Resources to Consider
• Trained staff
• Commodity/supplies availability
• Transport
• Infrastructure at community sites (Health Facilities )
• Information, education, and communication materials
Roles and Responsibilities
• Staff to be involved:
o Clinical staff
o Administrative staff and
o Community
Promotional / Mobilization Activities
• Ways of mobilization include:
o Using community health workers
o Information, education, and communication campaigns
(posters, brochures )
o Mass media – community radio, TV
o Health talks
o Community based organizations
o Community meetings, such as town meetings, mosque
meetings
Tools and materials
1: Register
2: sputum cups
3: essential drugs
4: Cooling pox
5: billboard
6: KIT measurement (BP and on call)
NTP movement plan and actitivites
No:days Site IDP and host Sensitazation,eg.Community
Community mobilization
1:
2:
3:
4:
5:
6:
7:
Targets and intervention period
Intervention period: 6 days addition to one day awareness
Key population: vulnerable group
Number of people with laboratory-confirmed TB (% of tested) must be 55 cased
Number of people identified with TB symptoms (% of screened) must be 989
Number tested for TB (% of those with symptoms) must be 846
Facilities and outreach teams
Awdal
1: Awdal No\ Days doctor Nursing Car lab
A: Annalena 6 1 1 1 1
Tonelli TB
hospital
Total: 12 days 1 1 1 1
Maroodijeex
1: Maroodijeex No\ Days doctor Nursing Car lab
A: sh.nuur TB 6 1 1 1 1
ceneter
B: m.mooge 6 1 1 1 2
C: Hargeisa TB 7 1 1 1 1
hos
D: Gebilay TB 5 1 1 1 1
hospital
Total 24 4 4 4 5
Togdheer
1: Togdheer No\ Days doctor Nursing Car lab
A: Burco TB 9 1 1 1 2
hospital
B: Durqsi Tb 3 0 1 1 1
center
D: Oodwayne TB 6 1 1 1 1
hospital
Total 18 days 2 3 3 4
1: Sanaag No\ Days doctor Nursing Car lab
A: Ceerigaabo TB 6 1 1 1 1
hospital
B: Gudmo biyacas 3 0 1 1 1
TB center
C: Ceel afwayn 2 0 1 1 1
TB center
D: Garadag TB 2 0 1 1 1
center
Total 12days 0 4 4 4
Saaxil
1: Saaxil No\ Days doctor Nursing Car lab
A: Berbera TB 4 1 1 1 1
cente
Abdaal TB center 2 1 1 1 1
Achievement
I hope we are closed to reaching main targets like presumptive cases and positive
TB cases we screened 3721 people and 1095 became presumptive whereas 41
cases became sputum positive and the number of TB patient who started TB
treatment was 41
Challenges
Some areas were difficult to reach
People living in rural areas are mobile and it is difficult to get all in one place
Stigma still is a factor that stops people to go health centers and TB hospitals
Report Result
Here is the data for the outreach
Photos from outreach teams
