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Table 1 Models of care, populations served and types of services of four international NGOs involved in community based TB care in Myanmar, 2013-14

From: Different challenges, different approaches and related expenditures of community-based tuberculosis activities by international non-governmental organizations in Myanmar

INGOs (A) (B) (C) (D)
Model of health care delivery Newly recruited community health volunteers (TB + HIV) Existing community health volunteers (CHV) (TB+ malaria) Newly recruited community health volunteers with diagnostic facilities Established self help groups (SHG) with TB patients, family of TB patients and other community volunteers
Model description From village-based mobility working groups, outreach workers were identified, recruited and trained for CBTBC Existing CHVs were used for delivery of CBTBC • Established TB screening clinics and mobile teams to detect and diagnose TB.
• DOT providers were recruited and trained to detect TB suspects and follow patients
Self Help Groups were formed and trained with the intention of delivering CBTBC with their own fund through livelihood activities
Target population Migrants and mobile populations Rural heard-to-reach population Rural population including IDPa Urban slums
Population size 1 434 500 726 500 869 750 1 432 470
Volunteer payment Salary Travel, meals, and accommodation and costs to accompany patients for diagnostic and follow up visits Performance- based payment based on number of TB patients referred and treated SHGs got benefit from their livelihood activities
Average number of volunteers per year 117 796 436 157
Detection of TB suspects and referral • Health education in community and migrant settings to detect TB suspects and refer them to township health departments for diagnosis.
• Active TB case finding by mobile team
• Contact tracing among household members
• CHVs refer people with TB symptoms to township health departments for diagnosis.
• Contact tracing among household members
• DOT providers detect TB suspects in their community and refer them to INGO’s primary health care clinic and TB clinics for diagnosis
• Diagnosed TB cases referred to township health department for TB treatment.
• Contact tracing among household members
• Health education in community and migrant’s worksites to detect TB suspects and refer them to township health departments for diagnosis.
• Contact tracing among household members
Provision of DOTS • Outreach Health Workers (OHWs)deliver anti-TB medicines to patients monthly
• OHWs provide DOTS during the first week of treatment
• Outreach Health Workers (OHWs)supply anti-TB medicines to patients monthly
• OHWs provide DOTS during the first week of treatment
• DOT providers supply anti-TB medicines to patients monthly
• DOTS provided to most patients until the end of treatment
• Self-help groups supply anti-TB medicines to patients monthly DOT provided during the first week of treatment.
• DOT provided until the end of treatment in selected areas
Treatment monitoring Monthly Monthly Monthly Monthly
Patient support • Food
• Transport fees
• Costs for investigations
• Meal allowance during outpatient and inpatient visits
• Side effect medications
• Food
• Transport fees
• Costs for investigations
• Meal allowance during outpatient and inpatient visits
• Food
• Transport fees
• Costs for investigations
• Meal allowance during outpatient and inpatients visit
• Side effect medications
• Food
• Transport fees
• Costs for investigations
• Meal allowance during outpatient and inpatient visits
• Side effect medications
Health education • Individual discussion with patients
• Group health talks
• Health education through FM radio
• Individual discussion with patients • Individual discussion with patients
• Group health talks
• Individual discussion with patients
• Group health talks
• Behavior change communication activities within community
  1. a IDP internally displaced populations