"The purpose of this document is to highlight cases in which Advocacy, Communication and Social Mobilization (ACSM) interventions have contributed to a positive outcome of tuberculosis (TB) control activities directed to a range of audiences and settings. It is intended for on-the-ground stakeholders who are interested in successfully integrating ACSM strategies and activities into TB control programming, as well as for decision-makers who can provide greater political and financial support for ACSM activities at the national, sub-national and international level. ACSM is a relatively new technical component within the Stop TB Strategy, but its application is increasing quickly. In recent years, many partners and countries have adopted ACSM models – notably including the engagement of communities and patients in TB care and prevention – with the purpose of expanding the reach of TB programmes in innovative and effective ways. A significant differentiator of ACSM strategies is their focus on patient and community empowerment. This element promotes the integration of community-based programming into the otherwise medical and vertical health service delivery model that has traditionally been employed by TB control programmes." (Introduction)
1 Introduction, 9
2 Key Lessons Learned and Recommendations, 12
3 Case Studies of Godd Practices
Brazil: Reaching the unreached community participation in TB prevention and care in a Rio de Janeiro slum / Programa de Agentes Comunitários de Saúde, 18
Burkina Faso: Civil society mobilization to improve TB case detection and treatment outcomes among vulnerable populations / National TB Control programme (NTP) & Programme d'Appui au Monde Associatif et Communautaire (PAMAC), 22
Cambodia: Engaging private sector players to enhance early detection rate efforts / PATH Cambodia, 26
Dominican Republic: Improved TB case detection through NGO coalition building to implement community-based education and case-finding activities / Profamilia, 30
Ecuador: Using community DOTS in a remote indigenous community to achieve high detection and treatment success rates / Foundation Alli Causai, 34
Ghana: Overcoming stigma regarding TB by engaging traditional community leaders / Ghana Stop TB Partnership, 38
India: Improving DOTS access in the poorest slum areas of Delhi through community-managed DOT centres / Operation Asha, 42
Malawi: Improving access to timely diagnosis for TB suspects and PLWHA in communities with high HIV prevalence / Family Health International, 46
Mexico: Transforming a medical model for TB using community-centred approaches to improve detection and treatment success rates / Project Concern International (PCI), 50
Moldova: Planning and implementing effective Public Awareness Campaigns (PACs) / Centre for Health Policies and Studies (PASC), 54
Philippines: Bulacan Province - Increase in TB case detection through community anti-TB task forces / Provincial Health Office, Malolos, Bulacan Province, 58
Philippines: Maguindanao Province - Increasing access to microscopy in a conflict setting / Catholic Relief Services - United States Catholic Conference of Bishops (CRS-USCCB), 62
Romania: Empowerment of Roma peer health educators to improve TB knowledge and case finding in a disenfranchised population / HealthRight International, 66
Sudan: Utilizing partnership between NTP and community-based organizations to expand activities for TB control in (post-) conflict areas/ National TB Control Programme, 70
Tajikistan: Developing and implementing a national TB communication strategy / Project HOPE, 74
Ukraine: Reducing treatment default through enhanced provider communication skills and improved collaboration between actors / PATH, 78