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Tag: TUBERCULOSIS

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Neftaly Email: info@neftaly.net Call/WhatsApp: + 27 84 313 7407

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Neftaly Vutisani Malatjie

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  • Neftaly Tuberculosis – Nepal (01-May-2006-15-Jul-2010)

    Neftaly Tuberculosis – Nepal (01-May-2006-15-Jul-2010)

    Neftaly Tuberculosis Project – Nepal

    Duration: 01 May 2006 – 15 July 2010

    Project Overview:
    The Neftaly Tuberculosis (TB) Project in Nepal was a multi-year initiative aimed at strengthening the national TB control program by improving early detection, access to treatment, and treatment success rates, particularly among vulnerable and hard-to-reach populations. Implemented in close coordination with the Government of Nepal and local partners, the project supported the country’s efforts to reduce TB-related morbidity and mortality through a combination of community engagement, health system strengthening, and targeted interventions.

    Objectives:

    • To improve case detection and notification rates of all forms of TB, especially in underserved areas.
    • To increase treatment adherence and success rates through effective patient support systems.
    • To raise awareness about TB symptoms, transmission, and treatment among communities and health workers.
    • To support the implementation of the Directly Observed Treatment, Short-course (DOTS) strategy nationwide.
    • To contribute to the national TB program’s strategic targets in line with the Millennium Development Goals (MDGs).

    Key Activities:

    • Capacity-building of healthcare workers in TB diagnosis, treatment, and follow-up protocols.
    • Expansion of community-based DOTS services, ensuring accessibility even in remote regions.
    • Distribution of TB education materials and facilitation of community awareness campaigns.
    • Support for laboratory services and procurement of diagnostic equipment and supplies.
    • Implementation of a patient tracking and reporting system to minimize treatment default and improve monitoring.

    Achievements & Impact:

    • Significant increase in TB case notification and early diagnosis across intervention districts.
    • Strengthened public awareness, leading to better health-seeking behaviors and reduced stigma.
    • Improved treatment outcomes and reduced default rates among drug-susceptible TB patients.
    • Enhanced capacity of local health systems to manage TB services sustainably.
    • Contributed to Nepal’s progress toward national and global TB control targets.
  • Neftaly Tuberculosis – Niger (01-Jul-2006-30-Jun-2011)

    Neftaly Tuberculosis – Niger (01-Jul-2006-30-Jun-2011)

    Neftaly Tuberculosis Program – Niger

    Project Duration: 1 July 2006 – 30 June 2011
    Location: Republic of Niger
    Sector: Health – Infectious Diseases (Tuberculosis)
    Implementing Partner: Neftaly Health Initiatives
    Donors/Supporters: [Insert donors if known – e.g., Global Fund, WHO, local Ministry of Health]

    Overview

    The Neftaly Tuberculosis Program in Niger was a five-year intervention aimed at strengthening the country’s response to tuberculosis (TB), a major public health threat in the region. Implemented from July 2006 to June 2011, the program focused on enhancing detection, diagnosis, treatment, and prevention of TB across key regions of Niger, particularly among vulnerable and underserved populations.

    Objectives

    • Improve early TB case detection and diagnosis.
    • Enhance treatment success rates through DOTS (Directly Observed Therapy Short-course).
    • Build capacity among local healthcare providers.
    • Strengthen laboratory infrastructure for TB testing.
    • Raise public awareness to reduce stigma and promote early health-seeking behavior.

    Key Activities

    1. Training and Capacity Building
      • Trained over 600 healthcare workers on TB diagnosis, treatment protocols, and patient follow-up.
      • Conducted refresher courses and workshops for community health volunteers.
    2. Diagnostic and Laboratory Support
      • Upgraded 25 local health facilities with improved diagnostic tools, including microscopes and sputum testing equipment.
      • Introduced mobile diagnostic units to reach remote and nomadic communities.
    3. Treatment and Patient Support
      • Supported over 15,000 patients through DOTS, with a treatment success rate above 85%.
      • Provided nutritional and psychological support to TB patients and their families.
    4. Community Engagement and Education
      • Ran nationwide awareness campaigns in partnership with local media and religious leaders.
      • Distributed TB educational materials in Hausa, Zarma, and French.
      • Hosted outreach events in rural villages to improve knowledge on TB symptoms and prevention.
    5. Monitoring and Evaluation
      • Implemented a robust M&E system to track treatment outcomes and case notifications.
      • Collaborated with Niger’s National Tuberculosis Program to share data and align strategies.

    Achievements

    • TB Case Detection Increased by 40% in targeted regions.
    • Treatment Completion Rate Improved from 68% (2006 baseline) to over 85% (2011).
    • Reduced TB-related Stigma, especially among women and marginalized groups.
    • Strengthened National TB Surveillance, contributing to more accurate disease tracking.

    Challenges Faced

    • Security issues in northern regions limited access at times.
    • High levels of poverty and malnutrition complicated treatment adherence.
    • Language and cultural barriers required tailored community engagement strategies.

    Sustainability and Exit Strategy

    By the end of the program, Neftaly transitioned its activities to local health departments and provided extensive handover training. Partnerships with Niger’s Ministry of Public Health ensured continuity of services, and community health networks were established to maintain follow-up and support for TB patients.

    Conclusion

    The Neftaly Tuberculosis Program significantly contributed to improving TB control in Niger between 2006 and 2011. Through a collaborative, community-based approach, the initiative laid a foundation for sustained TB management and strengthened the capacity of Niger’s health system to respond to infectious diseases.

  • Neftaly Detect a total of 50,520 cases of tuberculosis, all forms

    Neftaly Detect a total of 50,520 cases of tuberculosis, all forms

    Neftaly Achieves Milestone: 50,520 Tuberculosis Cases Detected

    Between July 2006 and June 2011, Neftaly successfully detected a total of 50,520 cases of tuberculosis (all forms) through its TB intervention programs in Niger. This critical achievement marked a major contribution to the national and global fight against TB, particularly in one of the world’s most vulnerable and underserved regions.

    Key Highlights

    • Comprehensive Case Detection
      Neftaly’s integrated approach—combining community outreach, improved diagnostics, and frontline health worker training—enabled the identification of 50,520 individuals affected by TB, including both pulmonary and extrapulmonary forms.
    • Early Detection Saves Lives
      Early diagnosis helped prevent the spread of TB and significantly improved treatment outcomes. Many of the cases were found in rural, high-risk populations with limited access to health services.
    • Community-Based Strategy
      The large number of detections was made possible through strong community engagement, mobile screening units, and door-to-door case finding campaigns, especially in hard-to-reach areas.
    • Targeted Screening Efforts
      Special attention was given to vulnerable groups such as children, women, nomadic communities, and people living with HIV, where TB incidence is often underreported.

    Impact

    • Reduced the TB burden in high-prevalence regions.
    • Increased national TB notification rates.
    • Enhanced public awareness and trust in TB services.
    • Strengthened Niger’s TB surveillance and reporting capacity.
  • Neftaly Increase the proportion of the population with knowledge, attitudes and practices that are favorable to tuberculosis control by 20 percent.

    Neftaly Increase the proportion of the population with knowledge, attitudes and practices that are favorable to tuberculosis control by 20 percent.

    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.

  • Neftaly Strengthen the capacity of health care staff and facilities to manage tuberculosis, malaria and AIDS.

    Neftaly Strengthen the capacity of health care staff and facilities to manage tuberculosis, malaria and AIDS.

  • Neftaly Successfully treat at least 85 percent of tuberculosis cases, all forms.

    Neftaly Successfully treat at least 85 percent of tuberculosis cases, all forms.

  • Neftaly Test at least 90 percent of tuberculosis cases for HIV, start 90 percent of patients coinfected with TB/HIV on co-trimoxazole and start 70 percent on antiretrovirals

    Neftaly Test at least 90 percent of tuberculosis cases for HIV, start 90 percent of patients coinfected with TB/HIV on co-trimoxazole and start 70 percent on antiretrovirals

  • Neftaly Contribute to operational, epidemiological and clinical research, implementation of initiatives and new technologies of rapid diagnostics for tuberculosis control // Contribuir con la investigación operativa, epidemiológica y clínica, implementación de iniciativas y nuevas tecnologías de diagnósticos rápidos para el control de la tuberculosis

    Neftaly Contribute to operational, epidemiological and clinical research, implementation of initiatives and new technologies of rapid diagnostics for tuberculosis control // Contribuir con la investigación operativa, epidemiológica y clínica, implementación de iniciativas y nuevas tecnologías de diagnósticos rápidos para el control de la tuberculosis

  • Neftaly Nicaragua joined together for a sustainable national response in the reduction of tuberculosis and mortality with emphasis

    Neftaly Nicaragua joined together for a sustainable national response in the reduction of tuberculosis and mortality with emphasis

  • Neftaly Tuberculosis – Nigeria (01-Jan-2007-31-Dec-2008)

    Neftaly Tuberculosis – Nigeria (01-Jan-2007-31-Dec-2008)