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The Community Systems Strengthening initiative is an approach that promotes the development of informed, capable and coordinated communities, and community-based organizations, groups and structures. Under the initiative HFFG has established strong working partnerships with the Ghana Health Service structure at all levels- structures. Due to this, institutions like the National Tuberculosis Control Program (NTP), National Malaria Control Program (NMCP) and the National AIDS Control Program have provided technical support to the intervention which has reinitiated 19,656 HIV defaulters back on treatment and also helped identified 712 positive TB cases and still counting.



Under the Community Systems intervention of the WAPCAS/Global Fund NFM II intervention, 88 TB champions from 33 districts in 9 regions of Ghana were identified and empowered to undertake contact tracing, intensified case finding, DOT adherence counselling, follow-up on lost cases, drug monitoring at facilities, effective documentation and reporting. TB Champions from January 2019 to July 2020, were able to screen over 17,971 clients out of which 523 people from 6991 presume TB cases tested positive after going through TB testing at the various health facilities. Persons who tested positive were put on treatment.

TB Champions are persons who have been cured of TB and have dedicated their time and resources to serve as advocates in their communities to spread information on TB in order to get persons who might exhibit signs and symptoms of TB to get tested and if positive be enrolled on TB treatment.