Through the presentations provided in this session and the subsequent discussions, individual workshop speakers and participants noted key innovations and action items. They include the following:

  • Operation ASHA has created a dense network of treatment centers for MDR TB, conveniently located in community centers that are open for extended hours and protect a patient’s privacy.
  • Community leaders are involved through the Operation ASHA network to increase active case finding and to maintain parallel records with those of the government. They are offered incentives for case detection and for keeping patients on treatment.
  • Cell phones and fingerprint technology are used in the Operation ASHA program in India and in the Indus Hospital TB Program in Karachi, Pakistan. This increases the efficiency of treatment tracking and offers opportunities for improved results.
  • In these innovative programs, the community is utilized, and a division of labor and costs among NGOs, families, foundations, and public and private health care providers is devised to reach more patients and improve treatment.

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