In May 2012, the Kenya National TB programme and WHO convened a national consultation on the ENGAGE-TB approach with NGOs engaged and unengaged in TB services. The consultation defined the process to develop national guidelines on NGO and other CSO engagement in community-based TB and TB/HIV services. Following the consultation, PLAN International took the leadership of a newly formed NGO Coordinating Body (NCB). Its initial members comprised largely unengaged NGOs. It has been meeting regularly to discuss opportunities and challenges in integrating TB services into existing community-based portfolios. Regular meetings with the national TB programme are taking place as well and serve to bring specific NCB issues to the table to share learning and discuss possible solutions.
Two indigenous NGOs, Community Health Access Program (CHAP) and Talaku, are being supported with seed funding. CHAP is based in Isiolo county and works with nomadic pastoral communities to improve access to TB services and care, and empowering communities to take charge of their own health care needs through community health education. The NGO is also the local convener for six local NGOs implementing health activities and exploring how the TB agenda can be introduced within their respective health actions. Talaku focuses on organizing community and school health education, TB patient follow up and home visits, identifying persons with TB/HIV lost to follow-up, and intensifying contact tracing. Talaku works with the Maasai communities in Kajiado country. The project aims to improve key TB outcomes through contact tracing of persons with TB and finding persons lost to follow-up. Both projects are being implemented through community health workers who work closely with existing community health extension workers.
WHO supported the national consultation and provided major input into the national ENGAGE-TB policy guidance. Assistance was provided to establish the NCB. WHO continues to facilitate interaction between the NGOs and the national TB programme. It also continues to provide technical assistance in the implementation of the two NGOs.