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Introduction

Tuberculosis:Tuberculosis (TB) is an infectious disease usually caused by Mycobacterium


tuberculosis bacteria(MTB). Tuberculosis generally affects the lungs, but can also affect other
parts of the body. Most infections do not have symptoms, in which case it is known as latent
tuberculosis. About 10% of latent infections progress to active disease which, if left untreated,
kills about half of those affected. The classic symptoms of active TB are a
chronic coughwith blood-containing sputum, fever, night sweats, and weight loss. It was
historically called "consumption" due to the weight loss. Infection of other organs can cause a
wide range of symptoms.

Tuberculosis is a major health problem in India. The country has the largest number of TB cases in the
world — over a quarter of the global total. Each year, more than two million people in India fall ill with
TB, and nearly 300,000 people die from it. India is now second only to China in the number of new cases
of multi drug-resistant TB (MDR-TB), with an estimated 20,000 cases in 2015.

India with an approximate 2.79 million patients has the highest Tuberculosis burden in the world,
according to the World Health Organization. It is also estimated that 40% of India’s population is
infected with the TB bacteria that have latent TB and not the full blown disease.

In West Bengal, according to the Revised National Tuberculosis Control Programme (RNTCP), the
population covered was 96,200. Out of this, 85,000 cases were notified by the public sector while nearly
4,500 cases were notified by private sector health care providers.

Many people are still unaware they can get free treatment, even if they know they are ill with TB. In
rural India, many are put off travelling to clinics because of transport costs, loss of earnings, or the
distances involved. Certain tribal populations and lower castes are cut off from public health care. Some
people, meanwhile, prefer traditional healers who are unregulated and know little about TB.

TB Alert has been working in India since 2000 to help the government reach the most vulnerable
communities and give them access to life-saving treatment. Our sister organisation, TB Alert India, was
formed in 2004 and has since been at the forefront of wide-ranging efforts to fight TB.

We work hand in hand with our sister charity TB Alert India to develop, fund and implement a range of
projects to tackle TB in the country. TB Alert India works across two states in central and southern India,
Andhra Pradesh and Telangana.

Working closely with the Indian government, TB Alert India helps ensure people are treated and cured
by the national TB programme. The organisation brings together local grassroots organisations,
traditional healers, pharmacists, women’s self-help groups, people living with HIV, ex-patients and
government health services. Together, they raise awareness of TB and refer people with symptoms to
local health centres for diagnosis and treatment.
THALI

The Tuberculosis Health Action Learning Initiative (THALI) is a USAID funded project that aims to reach
over four million people in the city of Hyderabad, in India’s Telangana State.

The project, which runs from January 2016 to January 2020, aims to reduce delayed diagnosis and
improve the quality of TB treatment and care in the city.

The project will focus particularly on the populations who are most vulnerable to TB, including slum
dwellers, tribal groups, and people living with HIV and mining communities.

The project has five key strands:

1. Raising TB awareness so that more people are gain more knowledge about the disease, symptoms.

2. Supporting people with TB symptoms to access government TB diagnostic centres.

3. Bringing private TB diagnosis and treatment in line with the government’s Standards for TB Care in India.

4. Providing and enabling comprehensive TB prevention, care and support services for patients managed
by private providers.

5. Advocating for increased government, private and civil society investment in TB prevention and care.

Raising
Awareness

Support TB
affected
Advocating people

Key
Strands

Maintaining
Support and standards
services
P R O C E S SF L O W
 Donors – Governmental organisations are organisations owned or created under
government of India for a particular purpose. Even Governmental organisation apart
from being funded by the Government requires external funding. So here Thali is a
project of Government of India funded by U.S. Agency for International Development
(USAID).

 Program Executives – Program executives include the top management of the THALI
Project which includes, Program Manager, Director, CEO, Ministers etc. who manages
the entire organisation and the project.

 Communities Created – The program Executives subdivide the work by creating


communities or hiring Non – governmental organisations to bestow with
responsibilities. One of such communities is, Seba Sangha which is a NGO bestowed
with the responsibility for the THALI project.

 Objectives and program details – The several Communities created are provided
with proper explanation about the objectives, mission, visions and goals of the THALI
project.

1) Program Details: Key Activities

a) Awareness generation in area (ward-wise)


b) Identification TB suspects
c) Referral to Hospital for initiation of treatment
d) Treatment Adherence
e) Reporting & Documentation

2) Plan of Actions:

a) Awareness generation and dissemination of knowledge about THALI;


b) Developing medical and allied support service network in the area;
c) Provide “hardware” support like free testing and medicines.

 Community Leader – Community leader is a designation, for a person widely


perceived to represent a community. : Seba Sangha was established in 1973 by Md.
EsahaqueMollah, a school teacher in 24 Parganas,currently leaded by Arup Kumar Das,
the general Secretary.
 Supervisors – Supervisors are required to look upon the workings of the project, or the
field work done, or the necessities required, and report back to the higher authority for
the corrective actions to be taken. Here we had Papiyama’am as assistant secretary,
Gopa Ma’am as project lead who supervised the THALI project under taken by Seba
Sangha.

 Field staffs – Workings of the project require field staffs to manage various and many
amount of people. There were around 14 field staffs working under Seba Sangha for the
THALI.

 Locations – Every communities are assigned with certain regions to cover, as Seba
Sangha has worked primarily in all the 17 wards of Baruipur Municipality from the onset
of the THALI programme, we are pledged to create a TB Free Baruipur and this
programme would play an important role in letting the heterogeneous population of
Baruipur know about the important role of private medical practitioners in the area. At
present, we are working n 35 wards of Boral &Bagbazar area under KMC as part of
scaled up intervention phase towards making TB Free Kolkata. A MoU has already been
signed between THALI & Kolkata Municipal Corporation (KMC) as part of official
engagement & commitment towards this noble cause.

 Field Visits – Field work is the process of observing and collecting data. Field work
was conducted in the slums or the rural places where there was a huge rate of
TB patient. This allows researchers to collect data about the dynamic places,
people, and the results obtained of the operations.

 Field Work– Field work is basically the conduct of the required operations that were
necessary for obtaining the objective of the project.

 Field Report – Field reports were created that contained the number of people who
came for the awareness, check-ups, and what was the success ,the failure rate and the
financial cost involved.

 Quarterly feedback meetings – Reports were created and stored which were sent
back to the Program executives, Community Lead, and the donors. Quarterly feedback
meetings were arranged to keep the executives owners and the leaders to be updated
about the work in progress and the financial expenditure involved the shortcoming of
the work done so far, deciding upon alternative methods to be implemented for better
efficiency etc.
Raw material not used yet
Rationale of the program

a. Why this program is relevant for the THALI project?

As mentioned earlier, Government supported Directly Observed Therapy Short


Course (DOTS) have not had the expected outcome of universal coverage to Detect –
Prevent – Treat – Build which are integral to the goal of the NTCP to eliminate TB in
India by 2025.
It is relevant to mention here that in Kerala while almost 21,000 cases were notified
by Government service providers, over 26,000 cases were notified by private
sources.
Thus, by going into a campaign mode to create a more favourable “eco system” for
health seeking individuals and health service providers outside the Government
system, the programme aims to buttress ongoing efforts under THALI to control TB.
Key influencers would also get a major boost from such a programme.

Page # 2

b. What can THALI get from conducting this program?

 Create wider social awareness through posters in specialized locations like


Government hospitals and PHCs and banks/financial institutions;
 Generate a more conducive environment for possible TB patients to seek
private medical services;
 Develop better linkages with Government support agencies to prop up the
private health practitioners;
 Push forward THALI’s advocacy agenda of free testing of possible TB patients
and establishing a free TB medicine depot.
 Develop ownership towards making a “TB Free Municipality”

Raw material not used yet


SEBA SANGHA

(A registered social welfare organization under Societies Registration Act, 1961)

Registered Office:
Vill-Kantalfully, P.O-Makhana, P.S-Falta, Dist-24 Pgs (south), Pin-743 503, West Bengal. India

Branch Office:
Vill-Uttar Ramkrishnapur, P.O-Sukdevpur, P.S-Bishnupur, Dist-24 pgs (south), Pin-743 503, West Bengal. India

North Bengal Unit Office:


Vill +P.O-Kumargramduar, Dist-Alippurduar, Pin-736 203, West Bengal. India.

E-mail: sebasangha73@gmail.com / arupdas222@yahoo.com ; Website: www.sebasangha.org

Contact Person: Arup Kumar Das, Secretary; Contact No. : 9800196434

Seba Sangha is an established NGO working in the South 24 Parganas and Alipurduar districts.
With several Governing Body members who have considerable experience in working with
Health issues, there is considerable expertise available. Moreover, Seba Sangha has a local CBO
as its partner. The CBO is well connected to the local administration and its members are
entirely based in the Baruipur area.

Seba Sangha also plans to use several former TB patients as community icons for positive health
seeking behavior through the proposed programme.

Background

Seba Sangha was established in 1973 by Md. EsahaqueMollah, a school teacher in 24 Parganas
(S). It was initiated primarily as a youth club to work for the betterment of women, children and
indigenous peoples in the rural areas of South 24 Parganas and Alipurduar districts of West
Bengal. Over the years, it has been supported by various Government agencies and Indian and
overseas donors.

In its four decades of successful development interventions, Seba Sangha has worked with a
diverse portfolio of Education, Health, Livelihoods, Awareness Generation and Skill
Development. Youth have been its primary focus and many have also served as Change Agents
within their respective communities.

Vision

Seba Sangha envisages a society where every individual is mainstreamed in an inclusive


environment bereft of violence and discrimination.

Mission

Seba Sangha is committed to working with marginalized communities towards securing their
rights to ensure self-reliance.

Objectives

 Generate awareness of State and Central Government schemes, especially those that
benefit the marginalized and the socially excluded;

 Mainstream out of school and at risk children under the Right To Education Act;

 Make all aspects of Child Protection applicable, with special focus on establishing residential
school for drop out girls, prevention of Child Marriage and Child labour in our operational
areas in South 24 Parganas and Alipurduar;

 Work with Community Health issues, specifically Maternal & Child Health and ARSH
(Adolescents’ Reproductive & Sexual Health);

 Promote skill development among young adults;

 Make vulnerable communities aware of the dangers associated with unsafe Migration and
Trafficking;

 Work for a more sustainable environment to help combat climate change;

 Disaster mitigation, relief and recovery.

Thrust Area

Health, Education, Nutrition, Protection, Livelihood, Climate Change & Emergency Response

Target Group

Women, Children, Adolescents & Youths


Projects Seba Sangha currently working on

a) THALI – Tuberculosis Health Action Learning Initiative: A USAID funded project which aims
to use the private medical network to identify and eradicate TB from Greater Kolkata.
Initially entrusted with the 17 wards of Baruipur Municipality, Seba Sangha’s operational
area was increased to include another 14 wards of Boral Health District.

b) White Ribbon Alliance India (WRAI) is a U.S. and U.K. based capacity building and advocacy
network that aims to ensure that all women realize their rights to be safe and healthy
before, during and after childbirth. As CINI (Child In Need Institute) is their partner in West
Bengal, Seba Sangha is now in charge of their advocacy efforts in 24 Parganas (S) district.

c) Eastern Coalfields Limited – As a socially responsible corporate, ECL has taken a leading role
in training youth for their sustainable livelihoods in the Travel and Tourism industry. With
Seba Sangha as their partner in charge of mobilization, counseling, training, assessment and
placement of 350 potential candidates, this has been our first step in the emergent and
exciting world of CSR.

d) Seba Sangha has been working with SANLAAP (an internationally reputed NGO working on
Gender Development, Child Rights & Protection issues) in a Pilot Project –“Social
Accountability Project (SAP) in South 24 pgs. (Bishnupur-I Block, Patharpratima Block and
Sonarpur Municipality) supported by UNICEF & District Administration (s-24pgs.) for the last
3 years with a focus on empowering adolescents in school on ARSH & Rights issues.

e) Seba Sangha has also partnered with Jadavpur University (an academic institution) towards
sensitizing school children on Early Marriage & Trafficking issue through workshops in
Sonarpur Municipality area under south 24 pgs. District supported by UNICEF.

Important Partners

i. Dept. of Agriculture, WBGoV


ii. District Industries Centre, WBGov
iii. CAPART, GOI
iv. National Commission for Protection for Women (NCPWR), GOI
v. Eastern Coal Fields Ltd. (ECL) GOI
vi. NSHM (National School of Hotel Management
vii. SANLAAP, India & UNICEF (Indirect Partner)
viii. Jadavpur University, Kolkata
ix. Child In Need Institute (CINI), West Bengal
x. District Health & family Welfare (WH&FW), South 24 pgs., West Bengal
OUTCOMES

Map showing areas that THALI works in.

Key accomplishments in the first year of the project:

 942 slums, 2,492 healthcare facilities and 1,520 private healthcare providers were identified and
assessed for their suitability for project activities

 251,939 people learnt about TB through group meetings and events and face-to-face talks

 2,978 people with possible TB symptoms were referred for TB diagnosis

 488 people were diagnosed with TB


Proposed Outcome:
No. of people reached

No. of presumptive case identified

No. of TB positive identified

CURRENT STATUS
THALI has undergone a structural shift with the introduction of a patient support services
approach. In the earlier stages of implementation in West Bengal, the focus was on synergizing
resources in the public, private and corporate sectors. This was an ambitious strategy which in
the past commonly suffered from many pitfalls mostly related to inherently difficult
coordination. By creating a unified command structure which WHP’s programming model
advocates, the project has been able to combine a variety of competencies through specialist
organisations. The early results were extremely encouraging with THALI notifying 11,483 cases
(in two years) which was 90% of total cases notified by the private sector in six districts of West
Bengal (as on April 16th 2019).

Kolkata to improve TB notifications from private sector


To improve TB outcomes in the city and combat the menace of multidrug-resistant TB,
the Kolkata Municipal Corporation (KMC) has signed a MoU with THALI.

Since more than 60 per cent of patients seek care in the private sector, the project has helped
facilitate the early and accurate diagnosis of TB among the urban poor as well as notifying cases
diagnosed and treated in that sector, said Milan Dinda, project director, THALI.

Aligning private sector TB services with national efforts for greater reach
Private providers can often be fragmented and not connected to the larger health system.
Mapping the private providers is essential to identifying those who can be engaged to improve
service delivery and treatment adherence. JSI India used GPS to conduct a location-wise GIS
mapping of all private and charitable health facilities, including hospitals, standalone clinics,
pharmacies, and laboratories providing TB care and treatment services. Overall, 9,422
healthcare facilities were mapped. Pharmacies represented 45 percent of the total number as
shown below.
Capacity building: An essential ingredient

The THALI consortium has contributed to building the capacity of more than 1,400 public and
private sector health providers. In addition, JSI India has implemented the following
mechanisms within THALI to strengthen the efforts of the Government of West Bengal in
controlling TB:

 Developed a Technical Resource Group (TRG) of master trainers for THALI, including
THALI staff and TB experts from government training institutes, medical associations, and the
World Health Organization. The TRG trains providers from the public and private sectors on
the Standards for TB Care in India (STCI) and guidelines for Programmatic Management of
Drug-Resistant Tuberculosis (DR-TB) in India (PMDT).
 Sensitized a diverse range of private and public doctors about the importance of
early diagnosis, case notification, and other key information from the STCI and PMDT
guidelines. To further improve TB outcomes and reduce DR-TB rates, JSI India has also put
together an STCI job aid for providers which contains pointers for TB diagnosis and treatment
and highlights recent developments from the India Revised National TB Control Program.
 Engaged professional associations of doctors, pharmacists, and other relevant cadres
to expand orientation on STCI as part of continuing medical education.
 Conducted training follow-up through one-on-one visits to reinforce critical messages
on STCI using job aids.

“As a result of these and other efforts by the consortium, THALI-supported


private sector clinics contributed to over half (57 percent) of all TB notifications
by the private sector in West Bengal during a 19-month period from 2016–
2017”.

Over the next year, the THALI project will actively work with the state health
department, support efforts with system strengthening initiatives, and transfer
tools, resources, knowledge, and skills to ensure project sustainability. The project
will also work toward ending TB in West Bengal and India.
FIELD VISITS

PROJECT BRIEF

The Tuberculosis Health Action learning Initiative (THALI) project has been launched to reverse the grim
trend of TB by working with multiple stakeholders in urban areas of Kolkata, Howrah and South 24
Parganas. Hijli INSPIRATION, a National NGO is involved in the programme as a Community Engagement
Partner and is functioning in 12 Wards (14, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, and 40) of Kolkata
Municipal Corporation and 16 Wards (1 to 7 & 27 to 35) of Rajpur-Sonarpur Municipality.

DAY 1:- 15th MARCH 2019(FRIDAY)


INITIAL BRIEFING BY Mr. ARUP DAS & Mrs. PAPIYA CHOWDHURY

As stated above, this project is aimed towards increasing the TB awareness among the locals and in turn
improving their life standards of TB affected people including offering of treatment and medicines to the
affected victims.

In order to be more enlightened about the project, I had a meeting with Mr. Arup Das & Mrs. Papiya
Chowdhury who are the General Secretory and the assistant secretary of the NGO “SEVA SANGHA”.
They along with co operation of the KOLKATA MUNICIPAL CORPORATION (KMC) who are associated with
this initiative and are working rigorously to make this program successful. They both gave us an idea
about the THALI model which is described in the image below.

OUR WORKING METHODOLOGY AS DISCUSSED WOULD BE

To work along with the members of SEVA SANGHA, to gather data on how they work by visiting the
remote areas, what are the management principles & strategic procedures they follow to make the
program successful, working along with them to increase TB awareness and apply the management
principles that we have studied so far to provide them a better management solution to make the
initiative more successful. As discussed, a copy of our project would also be retained by SEVA SANGHA
for their future reference, & we are likely to start working actively from this weekend.
DAY 2 :-28th MARCH 2019(THURSDAY)
FIELD VISIT FOR TB AWARENESS PROGRAMME AT JUBOSHAKTI CLUB, SHAHEED SITI
COLONY, WARD NUMBER 109.

On the second day of our field visit, I went to visit the remote interiors of ward number 109 at Shaheed
Siti Colony at Juboshokti Club along with our project co-ordinator Mrs. Papiya Chowdhury to organize a
TB Awareness camp for the people of the locality. We were also accompanied by the HOD of Baghajatin
TB Hospital who further enlightened the people of the locality about the consequences of TB & also how
to identify the symptoms of TB at an initial phase.

Mrs. Papiya Chowdhury claimed to us in a discussion--“People hardly know about the brutality of TB,
we have seen many a times that in remote areas whenever anybody is diagnosed with TB, they are in
most cases isolated from the society. At times we have faced several challenges in making sure that the
affected people take proper medicines as TB medicines are not available readily & also the people
being ignorant of TB, often are reluctant to take medicines and often refuse to take medicines even
when they are provided with so.”

The awareness programme went out well, as people came out in large numbers to participate in the
programme, we were able to make them understand to take medicines at regular intervals & to take a
TB affected patient immediately to the nearby hospital instead of isolating them from the society.
DAY 3 :-10th APRIL 2019(WEDNESDAY)
FIELD VISIT FOR TB HEALTH CAMP AT JUBOSHAKTI CLUB, SHAHEED SITI COLONY,
WARD NUMBER 109.
On the third day of the field visit, I visited the Yuba Sakti Club where a TB health camp was organized led
by Dr. Abhijit Dey, and also included team members from Seva Sangha namely Mrs. Papiya Chowdhury
& Mr. Swapan who took active part in the health camp. The health camp also included checkup of
children and doctor advice was given at free of cost to the patients.

FREE DISTRIBUTION OF MEDICINES

As TB medicines are very costly and are very hard to get due to scarce availability, SEVA SANGHA took a
great initiative of distributing free medicines to the people, and doctor advice was given on how to take
the medicines safely and further awareness was also given to the TB affected people on how to tackle
Tb if detected at early stages.
ROLE OF CINI IN THALI

I met Mrs. TanusreeDasgupta&MrsGopaKundu who were the representatives of CINI & took great
efforts to make the THALI programme successful. In a chat, MrsTanusree toldus “CINI works jointly with
the KMC(Kolkata Municipal Corporation) to identify the most TB affected vulnerable wards. We, with the help of
partner organizations like SEVA SANGHA, try to identify the expected case of TB affected patients. SEVA
SANGHA conducts campaigns for TB affected patients, & CINI being a part of the THALI initiative, our main
target is to convert the TB affected patients to provide them with treatment & medicines. SEVA SANGHA
conducts field visits under the supervision of CINI & sends us the soft copies of all the data gathered. We have 9
NGOS in Kolkata & 3 NGOS in Howrah acting as our field partners to make this initiative successful. We are
also joined by WHF & JSI working in other wards of Kolkata for THALI.”
CASE STORIES
During the field visit on 10th APRIL 2019, in the health camp in Yuba Sakti Club at SahidSiti Colony, I met
two people who shared their valuable experiences regarding TB & how they have fought TB and one is
still fighting with TB. They shared their valuable experience with us.

CASE STORY I :: The incredible story of TB champion ChampaHalder

(ChampaHalder in the picture above, third to the right, depicting her story of TB and how she fought
TB, and sharing her vital experiences to the people present in the TB health camp on 10th APRIL
2019)

CASE HISTORY

Family background

ChampaHalder, aged 24 years, is originally from Raidighi village of South 24 Parganas. She spent
her childhood days in Raidighi, after she moved to Kolkata in the Srinagar area of Garia, to help
her ailing father & her brothers to set up their own garments shop in Garia. Her mother used to
work as an Ayah in a household. Champa’s father still looks after the garment shop in Garia.
After enrolling herself in a graduation course, she also started to pursue a nursing course from
Garia Nightingale hospital.

Onset & detection of tb

After Champa completed her nursing course, she started to work in ISLAMIA HOSPITAL where
she used to serve TB affected patients on a regular basis. It is from here only, that she had got
affected to TB. Champa underwent weight loss, she could not speak as she has almost lost her
capability to speak & often used to communicate in sign languages to other people. After
consulting with a ENT doctor of Garia, she underwent TB identification tests from BHARAT
SEVASHRAM SANGHA, after which based on doctor advice, she was immediately transferred to
BORAL TB HOSPITAL and after 10 days was again transferred to BAGHAJATIN TB HOSPITAL for
better treatment. She underwent medicines for 6 months, and also during this time she luckily
came in contact with the volunteers of the THALI program who took care of her by providing her
with medicines & time to time checkups. In a chat with us she revealed, “I have received a lot of
support from my family members, who took great care of me. I also used masks in order to
prevent the TB Virus from affecting other people in our family. My calcium &hemoglobin levels
went down drastically & I could barely get up from bed.” She continued to have her medicines
at regular intervals without fail & after 6 more months, we are delighted to say that she has
finally won her battle in the fight against TB.

Her role in the society

Champa says, that she will remain forever grateful to the doctors of Baghajatin TB Hospital ,
Boral TB Hospital, her family members & to all members of the THALI initiative who helped her
to fight this battle with TB. Champa says that she from now on, takes active parts in TB
awareness programs, and takes a leading role in educating the people about the symptoms of
TB and what should be done at an earliest stage to prevent TB from spreading before it goes out
of control. She has now restarted her career and is a part of a Govt hospital in Sonarpur serving
patients. She told us that how much she gained from the THALI initiative and that shewill
recommend people to contact with the THALI volunteers immediately whenever anyone is
affected with TB and should also take immediate advice from the doctors of Baghajatin TB
Hospital to immediately tackle TB at an initial stage. She has also advised people to always carry
a handkerchief if possible while sneezing or coughing in public places and to especially keep
away from newborn babies & children as they are severely affected with TB.
The picture shows Champa’s medical reports which finally reveal that she has atlast won her battle
against TB and is on a new path again to starting her career afresh & will be under regular supervision in
order to prevent the Tb from recurring back into her life.

Now, we shall discuss the case story of yet another TB victim, Mr Sanjit Ghosh, who still fighting his
battle with TB and is in a hope of being cured very soon. He too has shared with us his valuable
experience which is presented next.
CASE STORY II :- The story of Sanjit Ghosh, who is still fighting TB

(Mr. Sanjit Ghosh, in the picture above to the left, depicting his real life story of how he got affected to
TB to Mrs. TanusreeDasgupta from CINI, and how he is still fighting TB also talks about how THALI
initiative has helped to increase his awareness about TB.)

CASE HISTORY
Family background

Mr. Sanjit Ghosh is from the Hathunia village of West Bengal. He is married & has a girl & a boy.
He works as a staff car driver for the staff of Peerless Hospital.

Onset & detection of TB

Mr. Sanjit Ghosh in his interview with CINI representative Mrs. TanusreeDasgupta revealed to us
that he has been diagnosed with TB since the last 7 months. Initially the symptoms of TB
included chestpain &leathery with loss of appetite. He revealed that his entire family has a case
history of TB infections. Due to his TB infections he keeps his children isolated from himself.
His role in the society

Sanjit has claimed that his family has highly benefitted from the TB initiative THALI. He has
advised that he would tell people not to spend money outside in private & to contact the THALI
volunteers as his entire family has benefitted from the treatments & free medicines provided by
the team. Sanjit claimed that in spite of working as a staff for PEERLESS HOSPITAL, he did not
have any trust on the treatment provided by them & decided to stay in touch with THALI
instead. He is happy by the treatment provided to him by Dr. Abhijit Dey in the medical camp
organized by the volunteers of SEVA SANGHA as a part of the THALI initiative & is in hopes of
being cured as soon as possible.

TAKEAWAYS

Advantage
Disadvantage
CONCLUSION

This project thus has been a sensational experience for us as it has


bestowed us the knowledge of the importance of TB Awareness in our
society & to educate the people affected with TB on how to tackle TB &
to provide support to the affected. We therefore would like to thank
our project guide Dr. Anjan Ghosh & all the members of the SEVA
SANGHA team for guiding & helping us throughout this project.

Thus we firmly believe that as being in the fore front of field operations
on behalf of THALI we strongly agree that THALI has helped sensitizing
doctors on Standards for TB Care in India (STCI), community
engagement, catalysing innovations, strengthening evidence-based
decision making, coordination with government bodies and mobilising
increased investment for TB prevention and care.

So, I firmly believe that our project “TUBERCULOSIS HEALTH ACTION &
LEARNING INITIATIVE” is the first step towards enhancing the
awareness of Tuberculosis among the affected individuals & also
changing the mindset that the society has towards TB affected
individuals.

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