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Post TB CARE (NIHR, 2024-2028)

Goals

Patient-guided research, linking of networks, and the establishment of a collaborative centre of excellence for post-TB research care and community engagement in South Africa.

This project is implemented in collaboration with Stellenbosch University, The London School of Hygiene & Tropical Medicine, TB People Cambodia, and KHANA.

Achievements:

Community engagement

TB survivors with Post-TB disease were part of the proposal writing team and led work packages.

Community engagement took place through the establishment of patient listening groups and a Community Advisory Group (CAG) with study participants. Their feedback informed the development of data collection tools, guiding research implementation.

TB Proof developed a Post-TB policy brief with research participants that was presented to the Union’s Working Group on Post-TB in Copenhagen.

TB Proof running a Post TB CARE
TB Proof running a Post TB CARE

Study participants are part of the Post-TB champion and mentorship programmes. In addition, we partnered with 16 community leaders, including traditional healers and religious leaders, and 18 members of the Khayelitsha Health Forum to create demand for Post-TB care.

TB survivors shared their stories and advocated for improved care post-TB on the radio and social media.

We engaged with Prod Ndjeka through an advocacy letter and at the International Post-TB symposium, calling for a post-TB indicator and health worker training on Post-TB, and he responded that implementing post-TB care well should be prioritised.

We contributed to a publication advocating that person-centred post-TB care should be integrated into national TB policies (available here). We provided TB survivor perspectives as part of the submission advocating for a Post-TB lung disease ICD code.

WHO STAG-TB recommendations include prioritising post-TB care as part of person-centred care.

Our advocacy projects

TB Preventive Therapy

Some people may have latent TB – where some is infected by the TB bacteria but they do not show TB symptoms and cannot infect others.

TB Stigma Project

Stigma is a term describing the feeling of being ashamed, or experiencing societal disapproval in the way that other people treat you.

All oral drug-resistant TB Treatment

For many years patients were given a difficult choice: die because of drug resistant TB or become deaf as a results of the treatment.

TB IPC Training

Healthcare workers (HCWs) are three times more likely to be infected by TB than the general public and six times more likely to be hospitalized with drug-resistant TB.