Project Axshya (meaning TB free), to Fight HIV-AIDS, TB and Malaria, is a CHAI initiative which is implemented by Rupcha in the 5 districts of Punjab & 6 districts in Uttar Pradesh states, aims to improve access to quality TB care and control through a partnership between government and civil society. It supports RNTCP to expand its reach visibility & effectiveness, and to engage community based organizations and providers for improving TB services, especially for women, children, marginalized, vulnerable and TB-HIV co-infected populations. The goal of the project is to decrease the number of morbidity and mortality due to drug resistant TB (DR-TB) in India.
The civil society component endeavours to address challenges in program implementation and access to quality TB care by:
a) Strengthening engagement of providers & communities.
b) Complement RNTCP efforts in human resource development, supervision & monitoring.
c) Access to diagnostics, increased commitment to DR-TB and TB-HIV from all levels, enhancing engagement of community based providers and engage other providers in RNTCPs revised schemes.
Activities of Project Axshya
a) Gaon Kalyan Samiti and other community groups (such as PRIs, SHGs, CBOs) meetings.
b) Other community events-Mid media activities (street plays/nukkad nataks, rallies, mike announcement, awareness camps etc.)
Capacity building activities:
a) Training local NGO network
b) Training Rural health care providers
c) Training health staff in soft skills
d) Capacity building of Community Based Organizations (CBOs)
a) Formation of District TB Forums (Formation of TB Forum at district level, involving cured TB patients, existing TB patient who are on TB Treatment, dedicated DOT providers, retired teacher/Professors, media representatives, PLHIV, NGO/CBO representatives)
b) Sputum Collection & Transportation
c) Tracing initial defaulters and default retrieval of patients who miss their doses
d) Special activities on World TB Day & International Women’s Day
e) Display/dissemination of Patient Charter.
f) Model Axshya Village: Axshya village is a good step towards making the villages TB free.