Axshya Project
Axshya Project

Axshya Project

India bears the highest burden of tuberculosis (TB) globally with an annual incidence of 2.8 million new cases. About 2.6 million people live with HIV and 1.2 million are TB-HIV co-infected. India has one of the highest multidrug-resistant TB (MDR-TB) burden globally with 70,000 cases annually. India’s highly successful TB programme has consistently achieved global targets at a national level but nevertheless, India continues to struggle with the world’s highest burden of TB.

The Axshya project works to improve access to quality TB care and control through a partnership between government and civil society. It supports India’s Revised National TB Control Programme (RNTCP) to expand its reach, visibility and effectiveness through Active Case Finding; by engaging community based providers to improve TB services, especially for women, children, marginalized, vulnerable; TB-HIV co-infected populations and support and facilitate Qualified Private Practitioners for TB Notification. Advocacy, communication and social mobilisation (ACSM) is a major focus.

Under the project, CARE India is responsible for Active Case Finding in villages and urban slums to enhance TB case detection, facilitate and support TB patients to know their HIV status to address TB-HIV coinfection,  increasing TB case Notification through Private Practitioners, training Qualified Private Practitioners for TB Notification, facilitating IPT for children under 5 years who are in contact with TB patients and training of Rural Health Care Provider / Urban Health Care Provider / AYUSH for referral of TB symptomatic cases to government health facilities at various levels. CARE India also engages in advocacy with the Health Department and strives to engage with medical colleges and hospitals for adopting the DOTS plus guidelines.

Use of Information, Education & Communication (IEC) for awareness generation & Behavior Change Communication (BCC) is a consultative process among communication specialists, technical experts, local change agents and communities which CARE India is taking forward in the project area to bring behavior change in knowledge, attitudes and practices of individuals, families and communities level.

Highlights

  • 414927 households from 3021 villages and 719 slums screened for symptomatic TB cases. 34337 symptomatic TB cases from the screened households identified and supported for diagnostic services. 4934 TB patients identified and linked to DOTS providers for treatment. Approximately 2136442 persons screened for symptomatic TB cases. 3670 TB patients were also facilitated for HIV testing. 728 children under 5 years who were in contact with TB patients were put on IPT.
  • Oriented 352 Qualified Private Practitioners (QPP) on STCI and Patient Notification which resulted in 7200 TB cases being notified by QPPs. 457 Rural Health Care Provider/Urban Health Care Provider/ AYUSH trained and engaged for referrals of symptomatic TB cases to the government health facilities and ensure initiation of DOTs to 658 TB patients diagnosed through them.
  • Selected and trained 387 CBO/ local NGOs in consultation with RNTCP, to serve as a mechanism to reach CBOs, women SHGs and communities for all community-based activities. 10636 women and 1272 men were trained in the process. Building capacity of CBOs and SHGs in each district to strengthen systems and improve partnerships for overall organizational effectiveness, by providing training in leadership, organizational and management skills, and basic one-time infrastructure.
  • Conducted community wide awareness programs through village community meetings, rallies, village announcements, articles in local dailies and road shows on World TB Day (local level) and International Women’s day in consultation with district program officers, to reinforce messages on TB and address misconceptions identified through community meetings.
 Madhya Pradesh, Chhattisgarh and Jharkhand