Engaging the transport industry in Tuberculosis prevention and infection control.
A leading reference organization that provides world-class Lung Health Solutions through Partnership,Advocacy,Research&Innovation,Education,Training& support.
A propos de vous
A propos de vous
Prénom
Nom
Adresse électronique
URL Twitter
https://twitter.com/#!/Kaptld
URL Facebook
A propos de votre organisation
Nom
KAPTLD
Site Web
Pays
Kenya
Pays dans lesquels ce projet crée un impact social
Kenya
Votre organisation est-elle une
organisation à but non lucratif
Depuis combien de temps votre organisation opère-t-elle ?
Plus 5 années
Votre organisation a-t-elle reçu des récompenses ou des prix ? Si oui, indiquez-nous lesquels.
Références - Veuillez fournir deux références, accompagnées chacune d'une explication de deux lignes, d'une adresse e-mail et d'un numéro de téléphone
We are a leading reference organization that provides world-class Lung Health Solutions through Partnership, Advocacy, Research & Innovation, Education, Training and Technical Support
Dr. Chakaya J.M Technical advisor KAPTLD chakaya.jm@gmail.com +254721694484
Dr. Grace Gitonga, Programs Manager KAPTLD grace.gitonga@gmail.com +254721902191
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Innovation
Sélectionnez la phase qui s'applique le mieux à votre solution
Croissance (votre pilote fonctionne et commence à prendre de l'ampleur)
Depuis combien de temps le projet existe-t-il ?
En place depuis 1 à 5 ans
Le besoin : quel problème tentez-vous de résoudre ?
Ignorance on the disease; by providing correct information on the disease including but not limited to sign and symptoms, transmission and prevention, all aimed at behavior change
Defaulting on treatment; by emphasizing the importance of seeking treatment early, seeking correct and appropriate treatment, the treatment procedures and duration, possible drug side effects and the importance of completing prescribed.
Demand for proper and correct, quality services
La solution: quelle solution proposez-vous ? Soyez précis !
Training matatu crews to provide correct information on the disease including but not limited to sign and symptoms, transmission and prevention, to encourage and initiate behavior change
Encouraging TB suspects to seek treatment early, seek correct and appropriate treatment; advice them on the treatment procedures and duration, possible drug side effects and the importance of completing prescribed treatment.
Through the engagement of the transport industry we will have a well informed society that seeks and demands correct and appropriate TB services
Information is power, power to make the right informed choices
Le système : décrivez un exemple spécifique montrant de quelle façon votre initiative fonctionne ; indiquez vos principales activités.
Kongowea, Mombasa, one of the regions where the solution was piloted, had 9 Matatu crew members who had previously suffered from TB, with 5 admitting they defaulted on their treatment due to drug side effects and stigma associated to the disease in relation to HIV/AIDS. Most of them admitted they rarely have time for or cannot afford a decent well balance meal. Due to time constrains and lack of information, their health seeking behavior was also wanting with most opting for cough syrups from the chemists and drug stores while others sought the services of traditional healers and herbalists. These practices, they learnt during the training, lowered their immunity making them susceptible to infections among them TB and the lack of proper and appropriate treatment made the disease worse.Upon completion of the training they were screened for TB and 7 were put on treatment including the 5 that had defaulted.They were then provided with IEC materials which included a facility directory for easier referrals, branded T-shirts and asked to put in place TB infection control measures such as asking the commuters to open the windows for proper ventilation and to cover their mouths when coughing or sneezing,to talk to commuters about TB being that they had suffered from the disease and were on or had completed treatment,escorted those who had experienced sign&symptoms of the disease to the nearest government health center for further investigation and treatment.During this period of engagement Kongowea health facility recorded a 39% increase in TB case finding.
Le marché : qui sont vos collègues et vos concurrents ? Identifiez les autres personnes qui travaillent à répondre au même besoin et indiquez ce qui vous différencie d'elles. Comment ces concurrents pourraient-ils influencer votre réussite ou votre croissance ?
Peers
• Government
• Matatu owners associations
• Matatu welfare association
• Matatu saccos
• CBOs
Competitors
• Matatu saccos
• CBOs
What differentiates us?
• Technical know-how
• Working with the government through PPM
• We have innovative ideas of engagement
Challenges:
• As a way to attract and retain members the associations and saccos are introducing wellness solutions at the workplace including health talks on TB
• Busy schedules
• Too much information to disseminate Other players picking on the solution e.g gender violence organizations using crews to pass the anti gender violence message
This Entry is about (Issues)
Impact social
Création de l'organisation : nous voulons tout savoir sur votre déclic. Expliquez-nous où et quand les fondateurs se sont rendu compte que cette solution possédait un véritable potentiel pour changer le monde.
Stuck in traffic headed to a health center for a meeting, we noticed most matatus had very misty windows as none of them had their windows open making them fertile grounds to spread airborne infections such as TB. At the health center we were informed that most of the defaulters were matatu crew members.
We decided to engage the transport industry through our workplace program, starting with the Matatus, given that approximately 92% of the Kenyan population will use this mode of transport daily.
Décrivez le but de votre initiative, en insistant sur les résultats que vous souhaitez obtenir
Goal: Stop the spread of TB and TB related deaths
This we hope to achieve through:
• Behaviour change; for the longest time possible there has been a lot of stigma associated to TB due to the HIV epidemic we hope to change this by showing the public that TB and HIV are two different diseases, That TB is curable and there are simple measures we can take to prevent TB Infections and Disease.
•Intensified case finding; Through this engagement we are able to get more TB suspects, who would have otherwise not made time, to seek proper diagnosis and treatment.
•Adherence and completion of treatment; With proper advice on treatment and possible drug side effects, and having DOT supports to encourage them, the patients will be more psychologically prepared to take up and complete treatment
Jusqu'à ce jour, quels résultats a obtenu votre projet ?
• Use matatu crews as TB advocates : Over 1500 crews trained. In turn they have reached out to over 10,000 passengers
• Interesting way of disseminating disease information: this is done through branding the matatu, playing clips on TB and the crews giving talks on TB during the journey
• Better treatment support and adherence: The crew members act as DOT supporters for those they encouraged to seek treatment
• TB screening camps held at bus stops have helped demystify the disease and seen over 5,000 people educated on screened of TB with the help of the matatu crews
• Increased case finding: regions engaged have reported 12%, 23% and 48% increased case finding respectively
Quelles sont vos prévisions en termes d'impact au cours des cinq prochaines années ?
• Changing the perception on the disease
• Infection control
• No stigma
• Proper health seeking behaviour
Les meilleures propositions possèdent un programme solide détaillant leurs prévisions pour atteindre et suivre leurs objectifs de croissance. Identifiez vos objectifs à 6 mois pour accroître vos résultats
Train more crews and expand to other regions and modes of transport.
Définissez les trois tâches principales à accomplir pour atteindre ces objectifs à six mois
Tâche 1:
Engage and train owners, route managers, stage supervisors, touts, conductors and drivers of the identified regions of expansion
Tâche 2:
Provide engaged crews with access to information and treatment sites, dissemination of the patients rights and responsibilities.
Tâche 3:
Engage aero companies with local and internationals routes in a bid to encourage them to take up infection control in their loun
Et maintenant, voyez les choses en plus grand ! Identifiez vos objectifs à 12 mois
Demystify TB and encourage treatment adherence
Définissez les trois tâches principales à accomplir pour atteindre vos objectifs à 12 mois
Tâche 1:
Start a toll free number with more information to support what the crews were dissemination
Tâche 2:
Negotiate with matatu owners participating in the program to brand their matatus and crew thus giving them the recognition
Tâche 3:
Monitor and evaluate project impact in 1.Behaviour change 2.Infection control 3.Treatment adherence 4.Case notification
Viabilité
Quels sont vos différents partenariats ?
• Government of Kenya through Ministry of Public Health and Sanitation & DLTLD: Access to free TB treatment sites
• USAID TBCAP: one year funding for the idea (2010)
• Matatu Owners Association: Access to matatu owners
• Matatu Welfare Association: Access to matatu owners and crews
• Matatu Saccos: Access to matatu drivers, conductors and touts
Actuellement, votre projet cible-t-il d'autres populations, lieux ou marchés spécifiques ? Si oui, lesquels et pourquoi ?
Yes
We are targeting Long distance busses/regional routes and Airplane companies
with emphasis on migratory routes such as Marsabit, Isiolo, Busia, Namanga, and ports of entry for Infection control
Quel environnement et quels facteurs organisationnels internes font la réussite de votre projet ?
Public Private Mix: this gives us access to free treatment at government facilities
Engagement of all stakeholders; most matatu crews were defaulting from treatment due to stigma and work schedules. We engage the owners and management making them understand the disease, its impact on their business and why it is important for them and the crews to participant in the project and for the management to allow crews time off for treatment
Engagement with all stakeholders: Matatu owners, Saccos managers and route controllers, touts, conductors, drivers and passengers.
Expliquez plus en détails les besoins et les offres indiqués ci-dessus ou proposez un type d'aide non mentionné dans la liste
| Fichier attaché | Taille |
|---|---|
| Engaging Matatu crews | 79.28 Ko |
 | 23 weeks agoEmily Nyagaki updated this Competition Entry. |
| 23 weeks agoEmily Nyagaki submitted this idea. |