TB Treatment Support Program

Background:

One of PEOPLE’S ASSOCIATION FOR TRAINING AND HEALTH (PATH)’s activities is participation in Government TB control Programme at slum communities in M East ward of Brihan Mumbai Municipal Corporation (BMC). It participated in case detection and treatment adherence related activities, including nutrition support to TB patients. Though PATH always paid attention to nutritional aspect of TB patients, since 2017 emphasis is on nutrition support to TB patients.

IN Pic : Providing Nutritional Supplements

Rational:

Adequate nutrition for TB patients is a major factor in the treatment of TB. A large number of TB patients are from poor sections of society for whom adequate nutrition is not available even during TB treatment. Therefore nutrition support for deserving TB patients is not a desirable component but a necessity in the treatment of TB patients. These positions are confirmed by field evidence in relation to urban poor.

Target group:

Target group is suggested on the basis of priority on need scale, operational logistics and availability of resources.

PATH proposes to promote nutrition support activities to economically poor TB patients of CAT I and CAT II in the above suggested areas.

Selection criteria Only for patients below 16 BMI
Expected nos. of patients 200
Average no. of months nutrition supplement provided 5 Months
Nutrition Item Milk powder

Intensive nutrition intervention in the case of CAT I and CAT II TB patients can contribute to prevent addition of more TB patients into the MDR category.

Thus these patients will be protected from the rigorous long term expensive and side effect prone MDR treatment. This intervention also may help to reduce relapse occurrences among CAT I and CAT II TB patients.

It is expected that patients would consent to participate in the programme implementation.

Objectives:

A well designed and executed nutrition support programme for TB patients would achieve many positive outcomes. The following are the main objectives of this programme:

  1. Improvement of BMI of the TB patients
  2. Completion of TB treatment
  3. Change in food habits leading to good health
  4. Prevention of possible relapse of illness and spread of TB to other members of family by involving key members to introduce affordable nutritious food items in the family and changing food habits, if required.

Connected with these short term objectives are the long term objective of improvement of nutritional status of patient and family and their problem solving capacity to improve their condition.

In PIC : TB Awareness Program in School

Main Activities:

The main activities for implementation of the project are:

  1. Building strong professional relationship with each patient and concerned field staff as it is the foundation on which other activities rest.
  2. Giving information about nutrition and its deficiency as contributory factor for cause of TB and necessity of uninterrupted and complete treatment to cure TB
  3. Assessing patients BMI and economic status
  4. Acceptance of patient in the programme with consent of patient to participate in the programme.
  5. Making a nutrition improvement plan for patient with the involvement of family and nutrition support items given to family under the project
  6. Regular home visits to patients’ home by concerned field staff to discuss about progress including weight gain, positive changes in food habits and practices that were harming health (ex. Alcoholism, tobacco product use, etc.) and other initiatives taken by the patient and family.
  7. Providing counseling
  8. Documentation of progress

This continued and systematic interaction with the patient is expected not only to help TB treatment but also to bring a lasting change and improvement in the nutritional and health status of the patients and their families and enhancement of their problem solving capacity.

IN PIC: Patients Meeting

Project Implementation Process

Infrastructure for the project has to be obtained and staff trained for the project. TB patients have to be identified in a specified geographical area with information provided by health post and visit to patients’ home (immediately after registration for TB treatment). In the beginning, the patients BMI and economic status is assessed. Further the patient is accepted in the project on the basis of assessment made and patients consent. After these initial steps, all activities in relation to patients will be initiated and continued.