Project Component 4:

Develop and implement a comprehensive strategy for sensitizing the community and local health workers on kala-azar detection and management across the endemic regions in Bangladesh

Since 2007, the NKEP has trained medical officers, nurses and medical lab technicians from the sub-district hospitals of VL endemic areas on diagnosis and treatment with miltefosine of Kala-azar cases. In 2013 miltefosine was replaced by single dose liposomal Amphotericin B (AmBisome) and again doctors, nurses and medical lab technicians were re-trained.  However, other potential contributors to the elimination programme such as HIs, AHIs and HAs of the sub-district hospital have never been trained on early case detection and referral. This could be due to limited financial and human resources of the programme to conduct additional training for these front line health workers. A potential partnership through training of the NGOs workers in the VL endemic areas will be of benefit to the NKEP.

Several studies indicated that VL suspects first seek care from local chemists/quacks that are residing near to them. In the past, very limited approaches were taken to reach local chemists/quacks to train them in VL detection and appropriate referral, and was was done mostly within small project activities. Potential partners of the NKEP could be the NGOs who are working even at village level to control other diseases of public health importance.

Social and community mobilization is a very important component for a health programme. For kala-azar, the NKEP developed limited BCC / IEC materials and creative components on kala-azar to increase community awareness on kala-azar. But due to lack of resources and proper planning the process has not been able to show large impact at community level. Therefore, supporting the initiative to invigorate the BCC / IEC process may have an significant impact on the elimination programme.

To develop effective and inclusive field level management and response teams to support the kala-azar elimination programme; reorganize and scale up IEC / BCC materials / methods for community mobilization at field level with support from potential stakeholders.

 

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