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Table 5 Shift in systemic intervention for urban TB control in developing countries

From: Resurrecting social infrastructure as a determinant of urban tuberculosis control in Delhi, India

Thrust areas Work plan
Strengthen social capital • Adopt community intervention strategies which support development of social infrastructure
• Create opportunities to encourage people’s participation in decision-making and community activities
• Collaborate with elected representatives and community self-help groups for the public health responsibility of their community
Collaborate with existing service providers • Liaison with the Ministry of Urban Development for Urban Self Employment program, Urban Women Self Help programs. Availability of night shelters for the shelterless population
• Work with the Department of Education to advocate TB in school health programs and youth awareness clubs
• Facilitate provision of social protection through available National Health Insurance schemes for below poverty line families and senior citizens. Development of a sustainable program for daily wagers with the Department of Labour
• Coordinate with the Food and Supplies Department for access to subsidized public distribution system
• Link with mother and child health services and support networks
• Establish innovative schemes in public-private partnership
• Reduce out-of-pocket expenses incurred by people on transport and wage loss by linking with available Social Welfare programs, especially for commuters from satellite towns bordering the city
• Explore the utilization of existing physical infrastructure for community services
• Seek opportunities to participate in city development plans and in planning for improvement of medical infrastructure in secondary/tertiary institutes
  • Liaison with the Department of Information and Technology to improve access to digital technology
• Share best practices with other public health programs to reach out to the vulnerable and marginalized groups in the city
Stress on affirmative inclusion in TB program • ‘Search TB’ in vulnerable and high risk groups among city dwellers
• Mandatory TB notification by all sectors
• Support incorporation of basic socio-economic data of patients in TB program surveillance records
• Develop social inclusion as a separate standard in the International Standards of TB care
• Incorporate available social welfare schemes in Patient Charter for TB care