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National Framework for A Gender-Responsive Approach to TB in India
Learning Objectives-
National Framework for a Gender-Responsive Approach to TB in India
Goal:
To adopt and implement a gender-responsive approach to TB in India.
Objective:
To aim for equitable, rights-based TB services for women, men and transgender persons by adopting a gender-specific programmatic approach at all levels
To mobilise, empower and engage women, men and transgender persons in the TB response at the health system and community levels
The overall guiding principles:
Non-discrimination, Informed choice, Informed consent, Confidentiality, Respect for all, Access for all, Working in partnership, Promoting rights of individuals and groups, Fostering accountability and Empowering communities.
Basic steps for gender responsive programming:
Assess provider knowledge on gender responsive programming and existing gender-sensitive practices.
Build capacity of providers on the gender perspective and providing comprehensive person-centric care.
Conduct baseline assessment of facilities, infrastructure and linkages in the context of gender-responsive programming.
Promote active involvement of people affected by TB of all genders in all aspects of the design, planning and delivery of programmes. The participation of people affected by TB and survivors must be supported through capacity building and mentoring. Accordingly, all the activities outlined under the NSP heads - Detect, Treat, Prevent and Build - incorporates components of community engagement.
The framework deals with interventions under the heads of Detect, Treat, Prevent and Build as outlined in the National Strategic Plan.
Detect:
Train providers (public and private) on gender-sensitive provision of care
Integrate screening for TB into maternal health services
Gender-sensitive Active case Finding
Improve gender and age disaggregated notification for public and private sector.
Strengthen referral and feedback mechanisms between program and community
Treat:
Adopt comprehensive patient-centric care
Ensure respectful behaviour and confidentially of identity
Provide non-judgmental, safe space for all, especially women and transgender persons
Enlist support of programme/private sector intervention for people with TB in the private sector
Engage communities in community monitoring, peer psychosocial support and mitigation of stigma
Prevent:
Institute air-borne infection control in health facilities, especially in MCH and ART clinics
Prioritise screening for LTBI and management among transgender persons, women and children
Enlist support for women for contact screening and chemoprophylaxis
Screen care givers for TB and educate them on cough hygiene
Support cough hygiene drives by TB champions and community groups
Build:
Strengthen linkages between program, private sector and communities
Work towards gender equitable planning and budgeting
Assess and aim for gender parity in the workforce
Ensure representation of women, men and transgender persons in all forums
Promote participation of women’s collectives in community response to TB
The programmatic approach ensures gender mainstreaming in all matters concerned with running the programme including the causes and consequences of TB, risks and vulnerabilities, access to healthcare and treatment outcomes.
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