Reach Ethiopia

Community-Based TB care activities to improve TB prevention and control

REACH Ethiopia is engaged in Tuberculosis (TB), Maternal and eHealth projects. The prior project – innovative community based approaches for enhanced case finding and treatment outcome with the aim of increasing accessibility to TB diagnosis and treatment in particular has significantly contributed to prevention and control efforts in the region and the country.
This intervention is part of TB prevention and control program and study for three years; funded by Norwegian Institute of Public Health in collaboration with Norwegian Health Association to conduct population based case finding to improve TB case identification and improving health care utilization of the community for inaccessible and disadvantaged rural community by strengthening primary health care structure of Ethiopian health system.

Key interventions

  •  Strengthening primary health care unit: linkage of health centers to health posts
  •  Implementing community based TB identification using Health Extension Workers (HEWs), Health Development Armies (HDAs) and other community structures
  •  Sensitization and capacity building training with stakeholders and strengthening monitoring and evaluation

Strengthening Primary Health Care Unit: training

Primary health care unit comprises of a health center (HC) and satellite health posts (HP). It provides service to a population of about 25,000 by providing preventive and curative services. TB diagnosis and treatment is done at this level. Health post is the satellite health facility providing services to 5,000 populations in the community. They are mainly engaged in case finding and supporting treatment. Training was given to more than 76 HEWs and 36 health workers from HC before cascading the intervention of community case finding, moving house to house and identify presumptive TB cases in the district.

Applied research on HEWs using eHealth to strengthen equitable health system in Southern Ethiopia

By Dr. Daniel G. Datiko, Mr Webalem Mengesha, Prof. SallyTheobald, Rosalind Steege
Study setting:
Intervention zone
The project was conducted in Sidama zone, Southern Ethiopia. The project was implemented in six Primary Health Care Units (PHCU – includes health center and satellite health posts) based in six districts of Sidama zone. The health centers and districts (Arbegona, Bona Zuria, Hula, Boricha, Dale, Shebedino)
The HEWs in this region are all female by policy and work at health posts based in Kebeles (the smallest administrative unit). Two HEWs are assigned in each kebele with an average population of 5,000 people (about 1,000 households). The HEWs devote 70% of their time to making house-to-house visits. Coverage of health services has improved from the implementation of HEP; however, there is still a long way to go to achieve universal health coverage. There are 16 health extension packages under four major components that fall under the HEWs’ responsibilities. Maternal and child health and TB prevention and control are included in the sixteen packages delivered by HEWs and are both key national public health priority areas. Improving maternal health outcomes and effective TB prevention and control requires early identification, linkage to community or facility-based services, follow-up and an improved reporting system whereby local data collection can be acted upon to support service delivery to those most in need.

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TB REACH Project

TB REACH Project is mainly working on innovative community base approach to address neglected and poor Patients. This project focuses on earily identification, screening individuals with TB symptoms among contacts of an infectious Pulmonary TB , refering presumptive TB cases to catchment health centers for clinical diagnosis. while implimenting this project, the project uses motobike adressing and enhancing poor community who are suffering on TB. And LEDFM Microscope for quality TB diagnosis and treatment. Through the project period from 2011G.C-2015G.C REACH Ethiopia distributed 2 Genexpert machines for Yirgalem hospital and Aleta Wendo hospital. In addition 5 Genexpert machines to Gurage zone, Silte zone , Hadya zone and Adare hospital.Herewith REACH Ethiopia is the first to apply GeneXpert machine forTB diagnosis.

By implimentig this innovatve approach project throughout SNNPR Specially in Sidama zone, silte zone, Gurage zone, hadya Zone and south omo zone, The performance of the project invites REACH Ethiopia to receive 2014 Kochon Prize award

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About Us

REACH Ethiopia grew out of a TB project that started in 2010. This project introduced an innovative community package that engaged health extension workers (HEWs) to increase TB case detection and treatment adherence.

Address: Addis Ababa, Ethiopia