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0:00
Greetings everyone.
My name is Lana Syed.
I'm a social scientist
by training.
I work for the
Global Tuberculosis
Program of the World
Health Organization.
In today's talk,
I'm going to talk
about community engagement
in tuberculosis care.
0:18
To start with the outline of
the presentation,
in today's session
I'm going to talk you
through the background and
the context of community
engagement in tuberculosis.
I'm going to explain a
little bit about what WHO
guidance on community-based
service delivery looks like.
It's branded as
ENGAGE-TB approach.
I'm going to then talk about
monitoring evaluation as
the key component of community-based
TB service delivery.
Then we're going to move to
the recent past in 2018 with
the first ever United Nations
Secretary-General
high-level meeting
on tuberculosis.
Then after that, I'm going to
explain and talk a
little bit about
community engagement
in tuberculosis
in the era of the
COVID-19 pandemic.
Then I'm going to finish
off with what are
the needs in tuberculosis
response and
community engagement
within that, looking
forward, and I'm going to finish
off with the role of WHO.
1:19
Who carries the burden
of tuberculosis?
Tuberculosis spreads in
crowded and poorly lit and
poorly ventilated
indoor settings.
This is because it's
transmitted through
bacteria from a person
with active pulmonary TB,
through either coughing or
sneezing or spitting, and so on.
The factors that
increase the risk of
TB are common among marginalized
and poor communities.
For example,
migrants, prisoners,
hard to reach populations
such as nomads, for example.
Some of the key
factors linked to
TB include weak immune system,
poverty, congregate
settings, stigma,
gender and legal restrictions.
In terms of comorbidities
and risk factors,
tuberculosis is linked
to HIV infection,
but also to malnutrition
and excessive alcohol,
drug or tobacco
use, and diabetes.
Even though TB affects
more men than women,
women and children are
particularly vulnerable.
Women, due to the issues of
stigma and misconceptions,
the real risk of rejection
by the family or the spouse,
and particularly so more in
traditional societies and
children due to difficulties and
challenges around
diagnosis in children.
