Neftaly Tuberculosis Awareness and Control Initiative
Program Goal:
Increase the proportion of the population with knowledge, attitudes, and practices (KAP) favorable to tuberculosis control by 20%.
Background
Tuberculosis (TB) remains a major public health challenge in many regions, especially in low-resource settings. Misconceptions, stigma, and lack of awareness contribute significantly to delayed diagnosis and treatment interruption, perpetuating the cycle of transmission.
Neftaly recognizes the urgent need to strengthen community knowledge and reshape attitudes toward TB. Our approach aligns with the WHO End TB Strategy and national TB control plans, focusing on community education, behavior change communication (BCC), and healthcare linkages.
Strategic Approach
To achieve a 20% increase in favorable KAP indicators, Neftaly implemented a multi-pronged strategy:
1. Community Education Campaigns
- Developed culturally sensitive TB education materials in local languages.
- Hosted community town hall forums, reaching over 40,000 residents in rural and peri-urban areas.
- Collaborated with local radio and television stations to broadcast biweekly TB awareness programs, including testimonials from TB survivors.
2. School and Youth Outreach
- Introduced TB modules into health education curricula in 25 secondary schools.
- Trained 100 youth peer educators to lead school-based awareness and anti-stigma clubs.
- Organized TB quiz competitions and drama skits to reinforce knowledge and positive attitudes among students.
3. Training and Capacity Building
- Trained local community health volunteers and traditional healers on TB signs, symptoms, and referral pathways.
- Engaged religious and cultural leaders to disseminate accurate TB information within their congregations and communities.
4. Monitoring and Behavior Change Communication (BCC)
- Conducted baseline and endline KAP surveys to assess progress and gaps.
- Distributed 15,000 illustrated leaflets and posters in clinics, marketplaces, and transport hubs.
- Launched a social media campaign to reach urban youth with targeted TB messages.
Key Results (Year 1 Snapshot)
- Knowledge of TB symptoms increased from 56% to 72% among surveyed populations.
- Recognition of TB as a curable disease improved by 24%, reducing stigma.
- Correct health-seeking behavior (e.g., visiting a clinic) rose from 49% to 66%.
- Misconceptions (e.g., TB caused by witchcraft or curses) declined by 35%.
- Engagement with TB services increased, with a 19% rise in self-reported TB screenings.
Challenges
- Persistent stigma in some communities discouraged open discussion of TB status.
- Limited access to diagnostic facilities delayed treatment in remote areas.
- Misinformation spread through unregulated traditional media remained a barrier.
Lessons Learned
- Community involvement and local champions are key to changing attitudes and behaviors.
- Pairing TB education with general wellness programs (e.g., HIV, malaria) broadens reach and impact.
- Repetition and consistency in messaging across multiple platforms reinforce learning and behavior change.
Next Steps
- Expand the campaign to new regions with lower baseline KAP scores.
- Strengthen TB screening through mobile clinics in underserved areas.
- Develop interactive radio talk shows and SMS messaging to maintain awareness momentum.
- Conduct refresher training for peer educators and health workers to ensure message consistency.
Conclusion
Neftaly’s commitment to improving knowledge, attitudes, and practices around TB is yielding measurable results. By centering the community and fostering partnerships, we are building a more informed and proactive population—one step closer to ending TB.


