On this particular project, the team from ICHIO Uganda worked alongside the AIC CLFs and other staff to implement the intervention through;forming clusters of 15 to 25 households, identification of volunteer cluster heads, close monitoring of cluster heads and the TB champions, health education of households to create awareness on TB/HIV and support of AIC outreaches. ICHIO volunteers also continuously mentored AIC CLFs/staff in field epidemiology during the project.
To increase the level of community awareness on TB through street by street/House to house TB sensitization and screening.
To supplement the AIC efforts in TB control at community level through enhanced active case finding
All spheres around this project have indicated a success so far; the community has been very receptive and very open to the volunteers to the extent of entrusting them with very personal health conditions. The results as indicated above are overwhelming and some cases have already been confirmed from the samples collected. These positive results were returned and the patients were referred to the hospital for treatment. The team from ICHIO Uganda has had a great field working experience and is very grateful to AIC for the partnership.
• Formed clusters of 15 to 25 households and identified cluster heads
• Closely monitored cluster heads and the TB champions
• Health educated households to create awareness on TB/HIV as well as addressing stigma.
• Worked with the Community Linkage Facilitators(CLFs), TB champions and private Health facilities to ensure community empowerment and strengthen community-health facility linkage,
• ICHIO volunteers continuously mentored AIC CLFs/staff in field epidemiology during the project
• Worked with AIC Kampala branch and other stakeholders to promote health through prioritizing prevention of tuberculosis/HIV,
• Record and report to AIC TB indicators as Prescribed by the national TB program guide
• ICHIO volunteers supported AIC outreaches
• ICHIO volunteers attended AIC monthly meetings
we planned and metwith the community leaders who took us around the slum while introducing us to the rest of the community, informing them about our purpose in the community.
The aim of the field visit was to establish the etiology and status of air pollution in the zone. Air pollution plays in favour of the TB bacterium, in that if an individual is exposed to particulate matter that can penetrate into their lungs, the particles will damage the lungs and make individual susceptible to TB infection
We were keenly interested in finding out possible sources of air pollution, the populations most vulnerable in terms of exposure to these sources and whether there were any visible confounding factors.
The common sources included; cars, motorcycles, road dust, charcoal and kerosene stoves both on the streets and indoors, construction works, cigarettes, maize mills, burning waste, saucepan manufacture and decomposition of organic waste giving off gasses like methane.
Those found to be most vulnerable to the exposures included women cooking, children playing around or on their mother's backs, active and passive smokers, maize mill workers, street vendors, and motorcycle riders.
Confounding factors included crowded communities, poor ventilation, confined spaces and poverty topped the list.
These have been done at household level in 15 clusters of between 15 to 25 households each. Over 225 households have been reached so far with an estimate of 1125 people. All these are coming from just one of the three zones we in the parish.
A total of 27 samples from presumptive cases have been collected so far from one of the three zones we are working in.