The experience of implementing a 'TB village' for a pastoralist population in Cherrati, Ethiopia

Int J Tuberc Lung Dis. 2011 Oct;15(10):1367-72. doi: 10.5588/ijtld.10.0751.

Abstract

Setting: In Cherrati District, Somali Regional State (SRS), Ethiopia, despite a high burden of tuberculosis (TB), TB control activities are virtually absent. The majority of the population is pastoralist with a mobile lifestyle. TB care and treatment were offered using a 'TB village' approach that included traditional style residential care, community empowerment and awareness raising, provision of essential social amenities and essential food and non-food items.

Objective: To describe 1) key aspects of the implementation of the TB village approach, 2) TB treatment outcomes and 3) the lessons learnt during implementation.

Design: Descriptive study.

Results: A total of 297 patients entered the TB village between September 2006 and October 2008; 271 (91%) patients were treated successfully, nine (3%) defaulted and 13 (4%) died.

Conclusions: For pastoralist populations, a TB village approach may be effective for improving access to TB care, ensuring proper adherence to treatment and achieving good overall TB outcomes. The successes and challenges of this approach are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Community Health Services / organization & administration*
  • Delivery of Health Care, Integrated / organization & administration*
  • Ethiopia / epidemiology
  • Female
  • Health Services Accessibility / organization & administration*
  • Health Services Needs and Demand / organization & administration
  • Humans
  • Male
  • Medically Underserved Area
  • Middle Aged
  • Organizational Objectives
  • Patient Care Team / organization & administration
  • Patient Compliance
  • Program Development
  • Rural Health Services / organization & administration*
  • Transients and Migrants*
  • Treatment Outcome
  • Tuberculosis / diagnosis
  • Tuberculosis / mortality
  • Tuberculosis / therapy*
  • Young Adult