3 Month Activities for the Program Proposal ACK kontra TB program

May ACTIVITIES 1. Courtesy call and presentation of the Program Proposal 2. BHWs Involvement as TB Treatment Partner OUTCOME > The proponents will present the program proposal to the administrators of LGU,MHO and TB committee of municipality of Iguig, Cagayan. >Gather BHWs from different Barangay and introduce the program proposal
Week 1 Week 2 Week 3 Week 4

June

July

>Orient and discuss their roles and responsibilities with regards to the proposal

>Conduct trainings and seminars to be competent TB treatment partners 3. Mobilization of TB Committee and Treatment Partner >Formulation of policies and emphasize roles and responsibilities >Plan and adopt round-year activities for TB treatment compliance >Develop strategies to closely monitor patients compliance >Regular trainings and seminars to enhance knowledge ,skills and attitude of the implementers

4. Information dissemination to the target population

>Gather TB patients and introduce to them the TB Treatment partner assigned in their Barangay >Discuss the strategies for strict compliance

5. Implementation of strategies

>Monthly Health Education of TB committee and BHWs >Formulation of daily treatment card >Tutok-Gamutan monitoring >Monthly Counseling of target patients and support system >Treatment partners will present their monthly compliance record to the TB committee in the RHU >Monthly meeting of TB committee and TB partners

6. Distribution of evaluation tool

>Provide a tool to evaluate the compliance of patients and effectiveness of the proposal

Strategies for ACK kontra TB program

A.BHW involvement as a TB Tx Partner The BHW will undergo trainings and seminars to be a competent TB Tx partners. They will serve as the eyes of the TB committee in the different barangay health station. B. Decentralization Tutok-gamutan

RHU TB Committee

TB Tx Partners

BHS

Tutok-gamutan/Househouse

The decentralization strategy will help the TB patients to have an easy access on their TB medications. Based on the result of the needs assessment tool one factor that hinders compliance is the distance of RHU (where they get their medication) from their house on difficulty of transportation. With this, we formulated this dispensation strategy. The TB committee will delegate the TB medication to the trained BHWs (TB treatment partners). The BHWs will stay at BHS so that the patient will go to them every morning and take their anti-TB drugs in their presence. If a patient failed to visit the BHS, the BHW will go directly to their house and personally give the medication. Through this strategy , the BHW can closely monitor the patients treatment regimen compliance .

C. Patient Treatment Record

Patient Treatment Record Month________ Name_________________________ Age_______ Weight______

Day Sign (Name of BHW) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Remarks:

Day 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Sign

The daily treatment record will reflect the compliance of the patient. The BHW will sign on the date once the patient takes the medication on his/her presence. D. Monthly Compliance Record The BHW will compile the DTR and will submit a report to the TB committee in the RHU. The record includes list of patients who religiously comply and who fails to take the medication regularly. E. Monthly Counseling A member of the TB committee presides the health counseling every end of the month. The BHW will assist the session. The families of the patient will be encouraged to participate in this activity. Basically this counseling will deal with the patients feelings towards the treatment and in return we hope that through this counseling the compliance to treatment will increase. The TB committee member (nurse/midwife) will also have a chance to talk to the patients families and assess how they are coping with their situation.

BUDGET for ACK kontra TB program (as of May-July, 2013 ) A. Seminars/Workshops (Day 1: Intensive Discussion, Day 2: Workshops) Speakers Fee Foods *Snacks (Am/Pm) *Meals (Lunch) Training Kit *Long brown envelope *Bond papers *Pen (HBW) Certificates Tokens and Certificates of the Speakers TOTAL B. Consumable Materials (supply for 3 months) Materials Pens Bond Papers (DTR and others) Log book TOTAL Unit Price P45/box P110/ rim P35/pc Quantity 3 boxes 2 rims 7 pcs Total Cost P135.00 P220.00 P245.00 P600.00 4,5000/speaker P20/participant P40/participant P10/participant 2 speakers Snacks and meals good for two-day seminar P9,000.00 P2,400.00 P2,400.00 P300.00

P15/pc P300/speaker

30 participants 2 speakers

P450.00 P600.00 P15,150.00

C. Inconsumable Materials (used in seven (7) Barangay Health Stations) Materials Medication Kits/Bags TOTAL Unit Price P200/bag Quantity 7 Total Cost P1,400.00 P1,400.00

Grand Total: P17, 150.00