Engaging the transport industry in Tuberculosis prevention and infection control.
Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.
Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?
Founding Story
KAPTLD
More than 5 years
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Operating for 1‐5 years
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
• 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
• Changing the perception on the disease
• Infection control
• No stigma
• Proper health seeking behaviour
Train more crews and expand to other regions and modes of transport.
Engage and train owners, route managers, stage supervisors, touts, conductors and drivers of the identified regions of expansion
Provide engaged crews with access to information and treatment sites, dissemination of the patients rights and responsibilities.
Engage aero companies with local and internationals routes in a bid to encourage them to take up infection control in their loun
Demystify TB and encourage treatment adherence
Start a toll free number with more information to support what the crews were dissemination
Negotiate with matatu owners participating in the program to brand their matatus and crew thus giving them the recognition
Monitor and evaluate project impact in 1.Behaviour change 2.Infection control 3.Treatment adherence 4.Case notification
• 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
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
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.