Stop TB project
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Stop TB project objectives
  H&H have over 10 years of experience in working on Stop TB projects in Ratanakiri. This 3 year project expands H&H's TB activities into Mondulkiri province. The overall objective of the project is to reduce morbidity and mortality caused by active TB in Ratanakiri and Mondulkiri provinces by improving the accessibility of quality TB diagnosis and treatment through good governance and decentralization of DOTS provided at the community level.

  Objective 1. Improve awareness about TB among the Indigenous communities
Awareness raising activities are a vital component of H&H’s project with the main objective to increase understanding about the identification, referral, management and treatment of TB. H&H conducts various awareness raising activities, including Small Performances in villages, Big Performances in villages and School Education Performances.  Awareness raising activities are completed in close collaboration with local health facilities (HCs, Provincial Health Department, Village Health Support Group and Village Chiefs). 
  Awareness raising aims to educate Indigenous communities, reduce stigma associated with TB and to promote referral pathways thereby increasing early case detection and to foster positive community environments to positively support TB patients through their treatment.

Objective 2. Improve infrastructure and support of the health care facilities to improve TB patient care and patient compliance 
To improve patient care to the patients who require 2 months hospitalisation during their initial treatment phase, this project would like to build new buildings in HCs that have existing TB treatment rooms, but where there current treatment rooms are not in separate buildings from where other patients are being treated. The importance of keeping TB patients isolated from other patients is critical to prevent cross infection.

Patient support:
Due to geographic access to HCs and other factors most TB patients in Ratanakiri and Mondulkiri are hospitalized for the Initial Phase of treatment (2 months on average).  Within this initial phase H&H supports patients by providing them with utensils such as mosquito nets, mats & hygiene supplies.  Additionally H&H also provides a weekly food supply to ensure they have the resources to stay in hospital and complete the initial phase of treatment.

Patient education:
All TB patients receive regular education about TB management including treatment, root cause, symptoms, transmission and prevention of TB.  The purpose of the regular education is not only to benefit the patient and their recovery but also to begin the process of training them as peer educators in their community and to support new patients that come to the hospital during the Initial Phase of treatment.  To ensure information is retained and understood all patients take part in a pre-test (baseline) and post-test after education sessions in the initial Phase.

Objective 3. Increase Number of Community Members That Seek TB Diagnosis and Treatment in Addition to Increasing the Sustainability of Reducing TB in the Community
To meet this objective, Community DOTS (C-DOTS) performances are performed. The highly successful and WHO recommended C-DOTS program has been actively running in Cambodia since 2002, whereby this health strategy acts to increase patients’ access to DOTS treatment through utilizing community volunteers to provide DOTS to patients.  In addition volunteers make up the Village Health Support Groups (VHSGs). The VHSGs act as community support members, raising awareness about TB, identifying symptoms and promoting accurate referral pathways and subsequently assisting with early detection (MoH, 2011). The project will provide annual training about TB care and treatment to all VHSGs to help motivate and build their capacity.