The epidemiology of TB differs across the Districts. As TB incidence increases in the general population, the disease becomes concentrated in key populations at the lower end of the socio-economic scale and especially among vulnerable (Homeless, incarcerated, PLHIV, Drug users, misusing Alcoholic groups, smokers, Elderly, Diabetic, Migrants, Ethnic minority/ indigenous populations, exposed health workers and marginalized groups) and socially excluded populations. Specific efforts are made to find and treat cases occurring among those most socio-economically disadvantaged and vulnerable. The main pillars of TB prevention and control are early diagnosis and case management, which are essential not only for the successful treatment of TB patients, but also for controlling TB as a public health problem.
Vulnerable finds it difficult to recognize TB symptoms, access health services, self-administer treatment and attend regular healthcare appointments. GRONET focuses on the TB-specific interventions, however, the importance of simultaneously addressing broader structural determinants as part of a comprehensive strategy to achieve TB elimination and defeat needs a collective effort from all the stakeholders. The key populations in these areas are highly mobile and presents unique features that influence access to TB services and adherence to treatment, such as limited engagement of the community and private sector in TB control interventions, presence of slum dwellings, supply chain constraints, lack of patient support and tracking mechanisms, suboptimal laboratory function, and a large knowledge and skill gap in health workers due to high provider attrition and Stigma is also rampant in these communities.
GRONET implements community-based TB activities with the aim of empowering communities to demand and utilize TB services through Sensitizing communities about TB symptoms, treatment options, preventions, Conducting community awareness on TB for stigma reduction, distributing TB information, conducting target TB screening, Counseling TB patients to adhere to treatment and Collaborating with health facilities.