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Although more men are affected by TB, women and transgender persons experience the disease differently. Gender differences and inequalities play a significant role in how people of all gender access and receive healthcare services.
Broad principles to address gender inequalities in TB care
Who can provide Psychosocial support?
Family Members, Peer groups, treatment support groups, TB Champions, Community Health Volunteers(CHVs) and NGOs can provide psychosocial support to TB patients and their families by:
Yoga
Ensuring access to DBT for all patients in catchment area
Community Health Volunteers need to take a proactive role for awareness generation about the scheme and its benefits. S/he along with the team of TBHVs and PHI staff should ensure that NPY(Nikshay Poshan Yojana) is accessible to every patient in her/his catchment area. S/he should ensure that
Treatment supporters are eligible for Honorarium at the end of TB patients treatment, only if the patient's treatment outcome has been declared either as "Cured “or "Treatment Complete".
The eligible amount of honorarium is
Community engagement is a process of developing relationships that enable stakeholders to work together to address health-related issues and promote well-being to achieve positive health impact and outcomes.
Mobilize communities to engage them in TB care and to increase ownership of the Programme by communities.
Community-based TB activities are conducted outside the premises of formal health facilities (e.g. hospitals and clinics) in community-based structures (e.g. schools and places of worship) and homesteads. Community health workers and community volunteers carry out community-based TB activities. Both can be supported by nongovernmental organizations and/or the government.
A TB Champion is a person who has been affected by TB and successfully completed the treatment.
TB Champions, in their capacity as survivors, are role models and can provide valuable support to those with TB and their families.
Figure: Roles of TB Champion
