Conference abstract
Integrated Family Planning and TB services outreach is a new approach to implementing primary health care (PHC) in remote and rural communities: experience from USAID Afya Shirikishi in Kigoma Region, 2023
Pan African Medical Journal - Conference Proceedings. 2024:21(13).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.13.2344
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Integrated, FP and TB, PHC, outreach
Oral presentation
Integrated Family Planning and TB services outreach is a new approach to implementing primary health care (PHC) in remote and rural communities: experience from USAID Afya Shirikishi in Kigoma Region, 2023
Elly Josaphat1,&, Olotu R1, Munuo G1, Machaku M1, Muya A1, Temu F1, Kisone S1, Lebba JP2, Ngalesoni F1
1Amref Health Africa in Tanzania, Tanzania, 2Regional Health Management Team Kigoma, Tanzania
&Corresponding author
Introduction: Tanzania is a pioneer in primary healthcare (PHC) and has made significant progress in meeting its population's health needs despite facing numerous challenges during implementation. These abstract aims to share the experience of the USAID Afya Shirikishi project in the Kigoma region in integrating Family Planning (FP) and Tuberculosis Services.
Methods: an integrated Family Planning and Tuberculosis (TB) outreach program was conducted in collaboration with Regional and Council Health Management Teams in eight district councils: Kakonko, Kibondo DC, Kasulu DC, Kasulu TC, Buhigwe DC, Uvinza DC, Kigoma DC, and Kigoma MC. Attendees received education on TB and Family Planning through group discussions and one-on-one sessions with CHWs and healthcare providers. Those requiring services were identified, and FP services were provided by trained healthcare providers while CHWs conducted TB screening and collected sputum samples.
Results: retrospective project data from January to December 2023 were analyzed. 153 events were conducted in as many villages, reaching 31,232 individuals (19,049 females and 12,183 male) with TB and FP education. Among them, 4,299 (2,410 females and 1,889 male) were screened for TB, with 1,923 (1,132 females and 791 male) identified as presumptive TB cases. Investigations were conducted for 1,847 (1,092 females and 755 male), leading to 173 (95 females and 78 male) TB diagnoses and treatment initiation. 5,411 individuals received FP services, with 49% opting for implants, including 1,416 Implanon and 1,230 Jadelle. Injectable Depoprovera was chosen by 1,171 individuals, followed by male condoms (732), pills (430 COC and 130 POP), implant removal (164), IUCD (80), and permanent methods (6 BTL and 1 Vasectomy).
Conclusion: integrated TB and Family planning outreach is a promising, cost-effective intervention for reaching individuals in remote and rural areas. It increases access to Services and reduces the cost of transportation.
Integrated Family Planning and TB services outreach is a new approach to implementing primary health care (PHC) in remote and rural communities: experience from USAID Afya Shirikishi in Kigoma Region, 2023
Elly Josaphat1,&, Olotu R1, Munuo G1, Machaku M1, Muya A1, Temu F1, Kisone S1, Lebba JP2, Ngalesoni F1
1Amref Health Africa in Tanzania, Tanzania, 2Regional Health Management Team Kigoma, Tanzania
&Corresponding author
Introduction: Tanzania is a pioneer in primary healthcare (PHC) and has made significant progress in meeting its population's health needs despite facing numerous challenges during implementation. These abstract aims to share the experience of the USAID Afya Shirikishi project in the Kigoma region in integrating Family Planning (FP) and Tuberculosis Services.
Methods: an integrated Family Planning and Tuberculosis (TB) outreach program was conducted in collaboration with Regional and Council Health Management Teams in eight district councils: Kakonko, Kibondo DC, Kasulu DC, Kasulu TC, Buhigwe DC, Uvinza DC, Kigoma DC, and Kigoma MC. Attendees received education on TB and Family Planning through group discussions and one-on-one sessions with CHWs and healthcare providers. Those requiring services were identified, and FP services were provided by trained healthcare providers while CHWs conducted TB screening and collected sputum samples.
Results: retrospective project data from January to December 2023 were analyzed. 153 events were conducted in as many villages, reaching 31,232 individuals (19,049 females and 12,183 male) with TB and FP education. Among them, 4,299 (2,410 females and 1,889 male) were screened for TB, with 1,923 (1,132 females and 791 male) identified as presumptive TB cases. Investigations were conducted for 1,847 (1,092 females and 755 male), leading to 173 (95 females and 78 male) TB diagnoses and treatment initiation. 5,411 individuals received FP services, with 49% opting for implants, including 1,416 Implanon and 1,230 Jadelle. Injectable Depoprovera was chosen by 1,171 individuals, followed by male condoms (732), pills (430 COC and 130 POP), implant removal (164), IUCD (80), and permanent methods (6 BTL and 1 Vasectomy).
Conclusion: integrated TB and Family planning outreach is a promising, cost-effective intervention for reaching individuals in remote and rural areas. It increases access to Services and reduces the cost of transportation.
