Standardized package of community-based support services to improve tuberculosis outcomes. A guide for affected community and civil society organizations, national tuberculosis programmes and policy-makers in eastern Europe and central Asia

Overview

Ending tuberculosis by 2030 requires not only strong health systems but also investments inrights-based, people-centred care. This document was developed in the framework of the project Advancing people-centred quality tuberculosis care: TB-REP, which was funded by the Global Fund and designed to support countries in eastern Europe and central Asia in ending tuberculosis through the implementation of a new model of care for early detection of drug-resistance tuberculosis and its treatment. The document pays particular attention to key populations by recommending a set ofcommunity-based services to engage and reach vulnerable populations, and to meet the complex and comprehensive needs of affected people. The document recommends engaging affected communities and civil society actors in service delivery along patients’ pathways and provides a set of practical tools for the implementation of the standards for community-based, nonmedical services. The services outlined in this guide are meant to support and complement services delivered by health-care providers and shift the focus from medical settings to the needs of people affected by tuberculosis in their community settings. The document can be used by national policy-makers, national programme managers, and community representatives to set up service delivery to affected communities and cost options for implementation purposes.