Project Component 4:
Refine, develop and implement sustainable integrated IEC/BCC messaging for KA, using transversal approaches with other VBDs and implement these in the 2 previous hyper endemic areas.
There are very few formal activities concerning the BCC/IEC at field level on Kala-azar. Besides, there is no training program for the front line health workers on proper identification VL/PKDL cases. In Phase I of KC project, about 75% Upazilas (sub-districts) of targeted upazilas have achieved activities related to BCC/IEC, and training of front line health workers on VL/PKDL. In Phase II, the KC project will complete the activities in rest of the 25% sub-districts in keeping and within the remit of the outbreak response strategy. As such, in this phase we will only work on capacity build up of the front line health workers in 25 UHC (25%) to ensure that they are prepared to be part of the OBS. The main focus of the integrated approach will be in Trishal and Fulbaria sub-districts, where the highest probability of resurgence in the consolidation phase exists. Accepting that vertical ring fenced funding for VL IEC/BCC may not be guaranteed after the end of KC, we will focus on sustainable messaging and integration with other VBD programme. In particular, the LF programme, which has also reached a similar stage of elimination, is something that we can focus on. Other collaborations with the leprosy control programme will also be explored.
To develop effective and inclusive field level management and response teams to support the kala-azar elimination programme; reorganize IEC / BCC materials / methods for community mobilization at field level with support from potential stakeholders in other VBDs. The overall objective will be to develop a sustainable community based strategy to ensure messaging for KA is sustained into the consolidation phase, with a focus on the most endemic areas.
- Adapt existing IEC/BCC approaches to ensure they are suitable for the consolidation phase and are integrated community based approaches.
- Explore possible transversal messaging with other VBDs such as LF; also consider leprosy programme for PKDL
- Ensure that the IEC/BCC component of the outbreak response strategy is well formulated and included in the responses described in component 3.
- Using the adapted techniques, continue to sensitise informal health practitioners (Village doctor, Drug seller, local informal care providers) (only in Trishal and Fulbaria sub-district).
- Where appropriate, ensure that there is baseline capacity for IEC/BCC messaging in remaining unsensitized Upazilas.
The main focus of activities will be Trishal and Fulbaria Upazila (sub-district) considering these are the most endemic areas, however the activities are expected to affect and be applicable to a much wider area.