Maxime LUNGA, World Care Council – Afro President ACSM tools for Implementers, Cape Town 2007 IMPLEMENTATION : PATIENTS' CHARTER FOR TB CARE

Patients' Charter for TB Care Outlines the 8 Rights and 4 Responsibilities of people with tuberculosis. Sets out the ways in which patients, the community, health providers and governments can work in a positive partnership. Practices the principle of Greater Involvement of People with Tuberculosis. Developed in tandem with the International Standard for Tuberculosis Care.

Implementation of Patients' Charter Experience of DR Congo 1999 : It Created a TB Association in DR of Congo with as denomination Club des Amis Damien. works for TB care and prevention. The 1 st TB Club worked at Ndjombo health establishment in Kinshasa 2001 : Starts extension of experience in others health establishments of TB care 2006 : 30 TB Clubs called (Antennas) in 30 health establishments of TB care in Kinshasa

TB members' activities Sanitary education (share information), Visit at home, Orientation of the suspect cases, Recovery of irregular and abandonments, Administration of DOT at home on mandate of the Tuberculosis nurse, Sensitization Campaigns events (WTBD, etc..)

Activities Results in 2006

Detection rate evolution (2000 to 2005) Ndjombo health establishment

2. Success and cured rate evolution ( Cohorts 1999 to 2005 ) : Ndjombo health establishment.

How implement the Patients' Charter Patients' Charter endorsed and printed by NTP Initiate process of creation/formation of patient powered' Club in country Introductory meetings and discussion with local civil society groups Develop and initiate an action Plan Monitoring and Evaluation

Proposition of World Care Council New methodology to mobilize communities in the fight against TB : Growing Social Mobilization in the Community Gardens Outlines 6 steps for building mass movements to stop TB in high burden countries.

Community Gardening (6 steps) Preparation and Groundwork Seeds in the Ground Forge Gardening Tools Irrigation and Nutrition Growth and Blossom First Harvest

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