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Organization Contact Information

Name: KEBA AFRICA
Street 1: Sakaman South Odorkor
Street 2: Accra
City: Accra
Province: Accra
Post Code: P.O. BOX 5484 Accra-North
Country: Ghana
Phone: +23321301213
Email: alfredtsiboe@kebaafrica.org
Web Site: http://www.kebaafrica.org

Focal Point Contact Information

Salutation: Mr.
First Name: Alfred
Last Name: Tsiboe
Title: Director
Email: alfredtsiboe@kebaafrica.org
Phone: +233-243-723820

Alternate Focal Point Contact Information

Salutation: Dr.
First Name: Margaret
Last Name: Neizer
Title: Consultant
Email: info@kebaafrica.org
Phone: +233-302-301213

General Information

Organization Type - Primary: Non-Governmental Organization
Organization Type - Secondary: Other Non-Governmental Organization (NGO)
Is your organization legally registered in your country: Yes
Organization Reach: National
Organization Description:
KEBA AFRICA is a non profit making organization duly recognised by the Ghana AIDS Commission and the National AIDS/STI Control Program to provide HIV/AIDS education and prevention as well as other social issues that are vital for human and social development. KEBA AFRICA beliefs that education, information and communication should be at the heart of any successful health rleated prevention strategy. Educating,informing and communicating with our active workforce thus represent the only realistic way of preventing and mitigating the effects of health related diseases in Ghana.

KEBA AFRICA’s overriding objective is to provide essential malaria, TB, HIV /AIDS information and services for individuals, communities and institutions that need these services most. Read More

MISSION
To be the number one promoter of sustainable human development

VISION
Is to create a more vibrant, equitable and informed society through economic, social and legal education.

OUR PROGRAM
HIV/AIDS
Gender based advocacy and human rights.
Poverty alleviation
Building the capacity of peoples with disability
 
Total number of staff in your organization: 11 - 25
Number of full-time staff who are directly involved with TB: 6 - 10
Number of part-time staff who are directly involved with TB: 1 - 5
Number of volunteers who are directly involved with TB: 11 - 25
 
What is your organization's annual budget (USD) dedicated to TB? $100,001-$500,000
How did you hear about the Stop TB Partnership: Involvement in TB control provision
Why do you wish join the Stop TB Partnership: Involvement in Stop TB Working Groups
 
Are you a member of a Stop TB national partnership: Ghana
Are you in contact with your national TB programme: Yes
Please tell us how your organization is contributing to your country's national TB control plan:
Keba Africa is part of the Kick TB campaign that seeks to create awareness on TB by fusing soccer and social mobilization to create a platform through which TB messages can be sent out to most at risk populations.
 

Geographical Reach

Which country is your headquarters located in: Ghana
Which WHO region is the main focus of your work: African
Which countries do you do operate in:
(This includes countries you are conducting activities in)
Ghana

Specializations

Advocacy, communication and social mobilization
Funding
Provision of TB products
Research and Development
TB Healthcare Services
Technical Assistance

Specializations in Countries

Advocacy, communication and social mobilization Ghana

Contribution

Please tell us how your organization will contribute to the Global Plan to Stop TB by briefly describing its involvement in any of the areas of work listed below:

DOTS Expansion and Enhancement:







Ghana Health Service(GHS),
P.O.BOX KB 493, Korle-Bu, Accra
Tel: 021-660023




Project Title:
STOP TB NOW PROJECT- BRONG AHAFO REGION





SUBMITTED BY:

KEBA AFRICA
P.O. BOX 5484, ACCRA-NORTH, 0243723820,0244281292





15TH SEPTEMBER 2009

SECTION 1: BACKGROUND INFORMATION OF NGO

Organization Name: KEBA AFRICA
Mailing Address: P.O.Box 5484, Accra -North.
Physical Address:Sakaman Main Road, opposite Etherean Mission
Telephone: 0243-723820, 0244-281292.

Vision:
To creat a more vibrant , equitable and informed society through economic, social and legal education

Mission Statement:
To be the number one promoter of sustainable human development

Project Co-ordinator
Name: ISAAC ALFRED TSIBOE
Title: Chief of Party
Contact Information: tsiboea@hotmail.com Cell: 0243-723820

Bank Information : ECOBANK, KEBA AFRICA, A/C 0010084425772401

Year Founded: February 2004
Registration: G-12,997 and DSW 4212. Annual Budget: 100,000 GH. Cedis

Geographical Coverage: (region, district (s), communities)
The project will be undertaken in seven districts in the Brong Ahafo region. The communities that the project will work in are Sunyani, Wiamfie, Berekum, Nkrankwanta, Nsoatre, Yawhima, Abesim, Drobo, Bechem, Nkoranza, Goaso and Dormaa Ahenkro.

Primary Target Beneficiary Description:
Women, Men and youth groups.

Members of the Organization (description of board, staff, volunteers roles and how many member for each group.)
KEBA AFRICA has a seven member board of Advisors, the following are their name and titles:
Nancy Baiden; Assistant Manager Accountant Generals Department; Mathew Ansah; Assistant M.D Frankfield Holdings; Mercy Konadu; National Co-ordinator UNFPA; Dr.Sylvia Anie; Ghana AIDS Commission, Director of Policy and Planning; Anita Arthur HR Manager CFAO Ghana, John Neizer; Quantity Surveyor; Cecilia Priddy; M.D Beulah’s Gifts.







KEBA AFRICA Key Staff:
Isaac Alfred Tsiboe, Chief of Party; Mac-Daniel Donkor, Field manager; Anthony Berlah Yankey, Program Director; Nana Darko,Administration; George Adu Takyi, Community Mobilization; Harriet Sam, Field officer.

Project Advisors:
Dr. Margaret Neizer; Gideon Hosu-Porbley, Monitoring and Evaluation officers; Efo Koshie Sellasi, Counsellor (HIV/AIDS), Daniel Okine, Accountant.

Volunteers:
Theresa Mensah, Irene Tamakloe, Samuel Otu Ankrah,Paul Romeo, Edward Asomani,Yaw Edu, Sandra Edufful, Francisca Eyyison, John Botsoe, Emmanuel Amuzu, Solace Akoffa Dzixose, Francis Gyamfi,John Mensah, Ruth Obeng, Samson offei Doodo,Mathew Seyram Mends,Benjamen Roberts.

List of Donors:
Netherland Embassy, Ghana AIDS Commission, Concern Universal, CFAO, Cadbury Ghana limited, Aid for AIDS Africa (USA), National AIDS Control Program (NACP) and GSMF International.

Organizational Affiliations (e.g. Faith-Based Affiliation, NGO Coalitions International NGO/FBO):
Coalition of NGOs in health, Ghana Association for the Blind (GAB),Ghana Association for the Deaf (GNAD),Etherean Mission, Aids for AIDS Africa. Health Foundation of Ghana (HFG), Concern Universal, GSMF, Gateway Service Limited (GSL), Atlantic FM, Twin City FM, and Ahomka FM.


PERSONEL AND ROLES AND RESPONSIBILITIES
Figure 1: organizational Structure of KEBA AFRICA.








The chief of party is the CEO of the organization and sees to the day to day running of it.The programme director works as deputy to the CEO and also has direct oversight responsibility for the Project Advisors. Project Advisors are consultants who are not permanent employees but collaborate with KEBA AFRICA to execute projects that need extra expertise outside the firm.
The Finance department handles all financial matters in the organization (remenuration for staff and projects expenses). The administrative manager supports and designs training models concerning all capacity building issues within KEBA AFRICA and other related projects. All project advisors, as well as deputizing for the CEO specifically oversee the design of strategic plans, projects, conduct baseline survey/feasibility studies, and undertake monitoring and Evaluation of ongoing or completed projects. The field manager is in charge of all field projects.,i.e counselling and testing outreach programmes, malaria prevention, TB awareness, water sanitation and hygiene, poverty reduction, and gender advocacy. He is also in charge of preparation and submission of project reports and proposals. He is assisted by the community mobilization officer, field officers, VCT counsellors and other volunteers.

OUR TEAM:
Alfred Tsiboe is the chief of party and holds a B.A degree in economics and sociology from the Kwame Nkrumah University of Technology, Kumasi. He also has MSc Degree in international development form the Alborg University, Denmark. Mr. Tsiboe has read courses in HIV/AIDS counseling; proposal writing and project management, human rights and rights based approach to development, financial management in NGOs. He is a member of the Ghana office of the UNAIDS technical working group on HIV/AIDS and the National training team of the ministry of education, science and sports HIV/AIDS secretariat. Mr. Tsiboe has extensive experience in HIV/AIDS research. His experience covers monitoring and evaluation, training and development, HIV/AIDS project management, programme design and policy formulation. He has worked as an HIV/AIDS consultant for WEAC, CADBURY Ghana, Accra Polytechnic and CFAO Ghana. Please find CV attached.

Berlah Yankey is the programmes director. He is an experienced field investigator and has undertaken numerous HIV/AIDS outreach programmes through out Ghana. He has a counselling certificate from the university of Ghana and BA in socail work.

Dr. Louisa Neizer – Is a specialist doctor at the Princess Marie Hospital, Accra and has vast knowledge and experience in malaria prevention and treatment, as well as HIV/AIDS epidemiology.

Gideon Hosu-Porbley is a lecturer in social research methods at the Ashesi university college, Ghana. He is also the senior research advisor & managing executive of Delink services, a development oriented consulting firm. Gideon has conducted academic and professional assessments in the fields of HIV/AIDS, malaria, education, environment, water and sanitation, gender, poverty reduction, participatory methodologies, governance and policy.

Daniel Okine is an accountant and a Bsc commerce holder from the university of Cape Coast.

Daniel Donkoh holds a Bsc pharmacy degree from the University of science and technology Kumasi. He takes charge of the field operations .Tel: 0233- 21-245799373

Nana Tsiboe – Darko is the administrative manager and holds a BSc degree in banking & finance.

George Adu Takyi holds a B.A in information management from the university of Ghana legon.

ORGANISATIONAL EXPERIENCE IN HEALTH PROGRAMMING
KEBA AFRICA specializes in mobile/outreach confidential voluntary counselling and testing (CVCT) as well as formulating, designing and implementing HIV/AIDS work place policy for organizations, institutions, ministries and departments.
We provide CVCT services throughout the country and have a mobile CVCT unit that undertakes CVCT programs in remote areas without proper housing units. Since 2007 we have been organising CFAO Ghana’s HIV workplace policy which is one of the best in country. Some of the lessons learnt has been profiled on the Barrel of hope programme organised by the Ghana AIDS Commission. We have organised VCT programmes for GSMF TOOL GUARD and DRIVE PROTECTED projects in all ten regions of Ghana, from Accra all the way to Paga. We are also in partnership with GSMF, organising Netherlands embassy CVCT programs in Accra, as well as SHELL Ghana’s CVCT activities in Accra,Takoradi, Tarkwa and Kumasi. The Ga East Assembly VCT programs during World AIDS Day in Madina and Abokobi respectively were solely organised by us. The Ga West outreach VCT programs in Pokuase and amasaman district were also contracted to us. Presently we are in the process of organising Cadbury Ghana Ltd’s HIV program as well as Gateway Services limited’s HIV program. When it comes to CVCT we have the track record to overcome the slow uptake often related to shame,stigma and discrimination. We are also working in the Western and Central region providing sexual and reproductive health (SRH) education and HIV/AIDS training of staff of media stations.We have helped the Ghana National association of the Deaf (GNAD) to develop a Video drama on HIV/AIDS as well as to help train their members. Presently we are working in 6 districts of the Brong Ahafo region in partnership with Concern Universal Ghana in outreach VCT programmes targeting 5000 people. We are also providing technical assistance to health Foundation of Ghana (HFG) in their HIV programmes in 6 districts in the Brong Ahafo region.Our existing partners include the Ghana AIDS Commission, CFAO Ghana Ltd, Cadbury Ghana Ltd, Gateway Services Ltd (GSL), National AIDS/STI Control Programme (NACP), Ghana Social Marketing Foundation (GSMF), Shell Ghana Ltd, The Netherlands Embassy, Concern Universal, HFG, Ahomka FM station, Atlantic FM station, Twin City FM station, Ghana National association of the Deaf (GNAD), Ghana National association of the Blind (GNAB) and Aid for AIDS Africa (USA).



TABLE OF FUNDING ORGANISATIONS

ORGANISATION AMOUNT DURATION CONTACT TEL
CFAO 38000 3 YEARS Anita Arthur 244539530
GHANA AIDS COMMISSION 11400 3 YEARS Slyvia Anie 021782263
GSMF 90000 4 YEARS Naomi Donkoh 021779395
CADBURY LTD 5000 1 YEAR Barbara Addo 021664334
NETHERLANDS EMBASSY 5000 3 YEARS Dorn Dikki 021214350
Aid for AIDS Africa 30000 2 YEARS Maurice Graham 015106042178
ATL FM 4000 2 YEARS Felix Poku 244785230
AHOMKA FM 2000 1 YEAR Pope 0243985181
TWIN CITY FM 4000 2 YEARS James Adeaba 0244025557
GNAD 7500 1 YEAR E. Asamoah 244046693
CONCERN UNIVERSAL 40000 1 YEAR Macduff Phiri 021769493
GA EAST DISTRICT ASSEMBLY 1300 1 YEAR Edem Nyadudzi 0244562564
GA WEST DISTRICT ASSEMBLY 2000 1 YEAR Larwe A 0243128385
ASHIEDU KETEKE DISTRCT 42900 3 YEARS Maxwel Gyimah 0244950554
SIGHT FOR AFRICA 1000 1 YEAR Jerry Nartey 0244052854
GES HIV SECRETARIAT 1500 3 YEARS Hilda Eghan 0277425198
GATEWAY SERVICES LTD 5600 1 YEAR Cecilia Quartey 021512764





SECTION 2: BACKGROUND INFORMATION OF COMMUNITY

The Brong Ahafo region is the second largest of the ten regions of Ghana, with an area of 39,557 sq. Km, it has 19 administrative districts with sunyani as the regional capital. As at 2005 the population stood at 2,053,988 with over 60% of this population being rural dwellers. 12 towns within 7 districts in the region has been chosen as the project sites. These 7 districts are Dormaa East, Jaman South, Dormaa Municipal, Sunyani West, Sunyani Municipal, Berekum. The 12 communities are Sunyani, Wiamfie, Berekum, Nkrankwanta, Nsoatre, Yawhima, Abesim, Drobo, Bechem, Nkoranza, Goaso and Dormaa Ahenkro.

District District Population
Asunafo North 113,446
Asunafo South 83,448
Berekum 105,487
Dormaa 170,050
Jaman North 79,514
Jaman South 88,325
Sunyani 202,709


The population in these 12 towns is the broad based type with children and youth accounting for over 60% of the population ratio. The predominant occupation in these towns are trading and farming which employs mostly women of all ages. A relatively minor percentage of the people are health workers, teachers and civil servants. On market days in all these towns there is a floating population of over 3000 people who come from nearby towns and villages to buy good and also sell other commodities.


According to the Ministry of Health, between 60 – 70% of those affected by TB in Brong Ahafo region are within the age group of 15 and 49 years. In 2007 about 654 TB patients were put on treatment in the Brong Ahafo region with 53 out of the number coming from the Nkoranza district. Findings by the demographic surveilance unit of Kintampo health research centre show that 40% of residents in Kintampo south district are living with TB.













TB STATISTICS FOR BRONG AHAFO REGION

YEAR POPULATION DETECTED CASEA POSITIVE CASES


# EXPECTED
#
DETECTED
CDR
2001 1,872,273 631 2,303 435 19
2002 1,907,131 741 2,346 468 20
2003 1,954,997 662 2,405 449 18.7
2004 2,003,892 664 2,465 405 16.4
2005 2,053,967 588 2,526 390 15.4
2006 2,105,338 650 2,590 418 16.1


Treatment Outcome for New Smear Positive in Brong Ahafo Region

Selected Indicator 2000 2001 2002 2003 2004 2005
Total positive evaluated 457 445 449 454 412 391
Cure rate (%) 52.7 53.7 63.5 62.8 60.7 59.1
Treatment success (%) 66 68.1 70.4 69.1 66.5 65.2
Death rate (%) 15.1 13 12.8 15.1 12.6 14.3
Failure rate (%) 3.1 4 3.3 1.8 1.9 3.1
Defaulter rate (%) 15.5 16.6 8.7 10.1 14.3 14.6
Trans. Out rate (%) 2.0 1.3 4.1 3.9 3.9 2.6
The region achieved defaulter rate of “less than 10% standard” in 1999 and 2002






The project will thus target women, men, and youth in Sunyani, Wiamfie, Berekum, Nkrankwanta, Nsoatre, Yawhima, Abesim, Drobo, Bechem, Nkoranza, Goaso and Dormaa Ahenkro in Brong Ahafo region whose activities put them at risk of having TB i.e smoking, alcohol and mining. Since these communities have a broad-based population structure with women, men and youth accounting for over 60% of the population, any intervention targeting these groups will have great impact.


SECTION 3: PROJECT DESCRIPTION

INTRODUCTION:
Tuberculosis is a disease of great antiquity. Until the emergence of HIV/AIDS in the 20th century, it was almost a forgotten disease. During the last decade of the 20th century however, the number of new cases of tuberculosis increased world wide.

The WHO estimates that at least one third of the world’s population –some 2 billion people –are infected with the principal bacillus, mycobaterium tuberculosis . Again, the WHO estimates that about 8 million new cases of tuberculosis occur and approximately 3 million people die of from the disease worldwide each year. Almost 1.3 million cases and 450,000 death occur in children in each year. Should this trend continue, it is expected that 10.5 million new cases will occur, with Africa having more cases than any region in the world.

The WHO Global report on TB for 2002 estimated the incidence in Ghana at betwwen 50-99/100-300 per 100,000 population. According to the NTP there were 702 deaths recorded in 2005 averaging two deaths per day whilst nearly 250,000 people have been protected from acquiring new TB infections in the country. Annually over 52,000 adults are infected and unfortunately about half die without proper treatment.

It is estimated that the influence of HIV on TB has been increasing such that in 1989 while about 14% of TB cases could be attributed to AIDS, by the end of 2009 about 59% of the projected TB cases will be attributed to the HIV/AIDS epidemic. Hospital studies have shown that the prevalence of HIV in TB patients is approximately 25-30% and that as many as 50% of patients with chronic cough could be HIV positive. Autopsies done in Accra found that the proportion of TB deaths increased from 3.2% in 1987-88 at the beginning of the HIV epidemic to 5.1% in 1997-98. At the Korle-Bu Teaching Hospital, 30% of people living with HIV (PLWHIV) present with TB and TB accounts for 40-50% of HIV deaths, while HIV is an important cause of medical deaths. Additionally information from the health facilities indicates that many people suspected of TB refuse to go for testing or discontinue treatment due to stigma attached to TB and also the superstitious beliefs accorded to it.

As a response to the growing threat of TB, the National TB control Programme was formed. The Strategic Plan for 2008-2012 includes improved NTCP management capacity to implement quality DOTS and improved quality assurance for sputum smear microscopy and supply chain systems.

In addition, under the U.S. President’ Emergency Plan for AIDS Relief (PEPFAR), USAID provides support for strengthening TB screening, treatment of HIV-infected patients in 25 selected health facilities and further support for people living with HIV/AIDS (PLWHA) groups as well as TB diagnosis and referrals.


The NTP is now implementing the new Stop TB Strategy of WHO which has six strategies to achieve the 2015 TB related Millennium Development goals as follows;

1. Pursue high-quality DOTS expansion and enhancement
2. Address TB/HIV, MDR-TB and other challenges
3. Contribute to health system strengthening
4. Engage all care providers
5. Empower people with TB, and communities
6. Enable and promote research

However despite the efforts of the NTP in controlling TB and treating patients which has seen a 73 percent success rate compared to 15 per cent in 1996, TB still remains a public health problem in Ghana. In spite of the good progress with the implementation of DOTS, TB cases continue to grow and it is even believed that there are more unreported and thus under-diagnosed cases in the general population. Fortunately, TB unlike HIV/AIDS is completely curable and thus people need to be educated about it. Again when knowledge is improved stigmatisation which has been the greatest negative tool in the fight against TB will be greatly reduced, if not eradicated. These measures will encourage more people to come and seek treatment





PROBLEM STATEMENT
The burden of tuberculosis continues to grow in the communities fuelled primarily by the impact of HIV epidemics and also population factors such as migration patterns , increasing poverty, social upheaval and crowded living conditions, inadequate health coverage and poor access to health services. Being essentially an air-borne disease, a lot more people are at the risk from infection from one infected person who is not on treatment. Due to the chronic nature of the diseases, infected individuals usually go through prolonged periods of debilitation, severe loss of weigh and lethergy . Affected individuals therefore are unable to cope with the stress of normal activities nor engage them selves in any profitable venture/employment. Thus income is lost, dependants(of affected persons) also suffer, and proverty, which is already endemic becomes worse. More especially affected farmers are not able to cope with the burden of their occupation and food production in the community is negatively affected.

Unfortunately affected individuals tend to shy away from seeking treatment because of the stigma associated with the disease. It is not uncommon to find in several homes that affected individuals are often left on their own in poorly ventilated rooms and are not allowed to share personal effects , even cups, spoons and plates with others in the household. Their nutrition is most often poor, which further worsens the outcome of illness, and encourages transmission to other members.

However within several days to two weeks after starting adequate chemotherapy, most adults are no longer able to transmit the organism. This means that early identification of cases holds the key to succesful control of the disease. Thus in this proposal, the focus will be to educate clients on TB and demystify it such that stigmatization will go down drastically.

Again the general population needs to be assured that TB is indeed curable and that the DOTS strategy is simple and yet very effective with home based treatment phase that covers two thirds of the treatment duration. Also treatment duration has been shortened from 9 to 6 months and this will decrease the tendency to default treatment. This project therefore aims to de-stigmatise TB in these 12 communities in the Brong Ahafo region through education and information and behaviour change communication and thus encourage more people to seek treatment. This will in no small way contribute to reaching the TB target treatment rate in the Brong Ahafo region. Its success will form the basis for replication in other regions.







PROJECT OBJECTIVES

• To improve knowledge about TB in 12 communities in Brong Ahafo region and to discourage attitudes and perceptions that hinders affected individuals from seeking treatment (destigmatize the disease)

• To support affected individauls and their contacts in 12 communities in Brong Ahafo region to receive TB treatment.


• Support treatment and adherence monitoring of home based treatment phase of DOTS in 12 communities in Brong Ahafo region




EXPECTED OUTCOMES

? Heightened awareness about TB in the 12 project communities

? Reduced stigmatization of affected individuals in the 12 project communities


? Increase in the number of people seeking treatment in the 12 project communities

? Improved community support for affected individuals (improved nutrition during illness, employment after completing treatment , reintegration into the society- no ostracization ensuring that they take their medications regularly)






SECTION 4: IMPLEMENTATION PLAN

Main objectives Activities Time line Usefulness of activity collaborators
To improve knowledge about TB in 12 communities in Brong Ahafo region and to discourage attitudes and perceptions that hinders affected individuals from seeking treatment (destigmatize the disease) (i) Meet with chiefs, elders and opinion leaders to formally introduce the programme and solicit their support for project 1 mth Mobilization of the people by their leaders and elders to enhance their full participation in the stop TB now campaign Chiefs,opinion leaders, FBOs, District Assemblies,Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs
(ii) Train community volunteers and organize TB awareness campaigns- using floats, brass-band placards, branded T-shirts etc. 3 mths To create awareness and spread information on TB Chiefs,opinion leaders, FBOs, District Assemblies,Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs
(iii) Organise monthly door to door TB campaigns to promote the stop TB now message 6 mths Seek unreported TB cases, and distribute IEC/BCC materials on TB Chiefs,opinion leaders, FBOs, District Assemblies,Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs
Improve knowledge about TB diseases in 12 communities in Brong Ahafo region and to discourage attitudes and perceptions that hinders affected individuals from seeking treatment (iv) Use of information vans once weekly to spread TB informations

(v) Organise monthly meetings with organized groups i.e. churches, mosques , youth groups , market associations

6 mths Heighten awareness and knowledge of TB. That, it is a curable disease and there is no need for stigmatization Chiefs,opinion leaders, FBOs, District Assemblies,Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs


To support affected individauls and their contacts in 12 communities in Brong Ahafo region to receive TB treatment.



(vi) Educate households on the need to avoid stigmatization or ostracizing affected individuals










6 mths

To demonstrate that stigmatization is unhelpful





To drum home the message that TB is curable

Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs
Support treatment and adherence monitoring of home based treatment phase of DOTS in 12 communities in Brong Ahafo region
(vii) Visit affected individuals and openly interact with them to continue the home based treatment phase of DOTS
6 mths Increased knowledge about TB, discourage attitudes that promote stigmatization

Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs

(viii) Organise home visits by community volunteers to monitor affected individuals and to constantly re-inforce information on TB 6 mths Encourage individuals to seek treatment and to comply with treatment
Hospitals, clinics in the project area, community health nurses, other NGOs or CBOs

LINKAGES WITH OTHER STAKEHOLDERS/COMMUNITY INVOLVEMENT
Churches and faith based organisations (FBOs) are an important reference point for mobilization hence KEBA Africa will partner with them and promote discussions within these organisations on TB. Other CBO’s and NGOs in the project communities will also be involved during sensitization and community awareness campaigns.

Community volunteers will be selected based on the following:
1. Recommendation from community leaders, youth groups, NGOs
2. Some teachers from selected schools in the communities
3. Individual’s who express interest in the community

A three day non residential workshop will then be organised for each of the 20 selected community volunteers. At the end of the workshop participants will have acquired skills in TB education and community mobilization.




SECTION 5: MONITORING AND EVALUATION OF PROJECT

PROPOSED SIX MONTHS ACTION PLAN
PROPOSED ACTIVITY MONTH (S)
1. Organise one focus group discussion with chiefs and opinion leaders in each of the 12 communities (Sunyani, Wiamfie, Berekum, Nkrankwanta, Nsoatre, Yawhima, Abesim, Drobo, Bechem, Nkoranza, Goaso and Dormaa Ahenkro) to talk about TB and to engage them in mobilizing community members . OCT- NOV 2009
2. Organise 4 interactive sessions monthly with target population i.e. women, youth groups, in the 8 project communities to talk about stop TB project. NOV- DEC 2009
3. Organise weekly TB awareness campaigns in the 12 project communities using an information van with pre-recorded malaria prevention messages, and distribute malaria I.E.C/BCC materials NOV- MARCH 2010
4. Organise 1 community event on TB in each of the 12 project communities respectively JAN-MARCH 2010
5. Train 20 community peer educators from each of the 12 project communities to help in community sensitization campaigns. DEC- JAN 2010
6. Organise monthly interactive sessions in the 12 project communities for community volunteers, beneficiaries and stakeholders to advocate the need for DOTS OCT- MARCH 2010
7. Organise door to door campaigns to promote the stop TB now message DEC - MARCH 2010
8. Organise home visits by community volunteers to monitor affected individuals and to constantly re-inforce information on TB DEC – MARCH 2010







MONITORING
Since the project coordinator will have final responsibility of ensuring the smooth implementation of the project, it will be prudent to task him with monitoring of the program right from onset.To enable the project coordinator ascertain whether the implementation of the programme is in line or conformity with the project guidelines there will be monthly meetings with the project partners (project officer, community mobilisation officer, and community volunteers). Data collection will be based on questionaires administered to the general population in the 12 project communities as well as focus group discussions between community volunteers, beneficiaries and stakeholders. Monitoring will not only expose lapses when and where they occur but also provide justification for taking corrective and adjustment measures.

The project will be reviewed through regular monitoring reports and regular visits to the communities by the selected project management team, the district TB and HIV coordinators, the district focal persons and a representative from the national TB programme. Quarterly reports indicating progress, activities undertaken and expenditure will be prepared and submitted to NTP.


EVALUATION
The best practice with regard to project evaluation has been that the funding agency or the donor appoints an independent evaluation team to undertake the evaluation in collaboration with the implementing team and in accordance with the time frame established for the task. Both project coordinator, project advisor on M/E and selected community volunteers will join an external team to undertake periodic internal and external evaluation in accordance with the action plan and the guidelines for the development and implementation of the TB project. The evaluation team will assess project results and make recommendations to adjust policies, procedural and operational guidelines if so required. Lessons learnt and best practices will be used to design future TB projects.


PROJECT SUPERVISION
There will be a project management team headed by the project co-ordinator with technical assistance provided by the project advisors in charge of supervising the TB project. Field work will be undertaken by the field officers and the community mobilization officer with assistance provided by the volunteers.




SECTION 6: BUDGET FOR PROJECT

COST APPLICATION IN NEW GHANA CEDIS ONLY
COST CATEGORY RATE UNIT UNITS TOTAL
SALARIES/WAGES

Job title:
Project cordinator
Name: Isaac Tsiboe

Job title:
M & E advisor
Name: Dr. Magaret Neizer

Job title: Project officer
Name: Anthony Berlah

Job title: Finance officer
Name: Daniel Okine

700




500



300



300
Monthly




Monthly



Monthly



Monthly
6 months




6 months



6 Months



6 Months
4200




3000



1800



1800
TOTAL SALARIES 10800
MATERIALS
Purchase of desk top computer 1250 1 1 1250
Purchase of laser printer 300 1 1 300
Purchase of software and manuals 1000 1 1 1000
TOTAL MATERIALS 2550
TRAVEL AND TRANSPORTATION
Fuel cost 200 Monthly 6months 1200
Project officers (2 ) 200 Monthly 6 months 1200
Transport allowance 70 x5volunteers Monthly 6 months 1200
Vehicle rental 600 Monthly 6months 3600
TOTAL TRAVEL/TRANSPORT
7200
OTHER DIRECT COST
Office Rent 50 Monthly 6 Months 300
Utilities 35 Monthly 6 Months 210
Office Supplies 140 Monthly 6 Months 840
Communication 1000 Monthly 6 Months 6000
Bank charges 5 Monthly 6 Months 30
TOTAL OTHER DIRECT COSTS
7380

TRAINING EXPENSES
Meeting (Opinion leaders)
Refreshment 1400 Quarter 3 Months 4200
Transport allowance 700 Quarter 3 Months 2100
TOTAL MEETING 6300
Training (community volunteers)
Transport allowance 25 x 20 pple Weekly 12 Weeks 6000
Meals 50 x 20 pple Weekly 12 Weeks 12000
Venue hire 300 Weekly 12 Weeks 3600
Stationary 2 x 20 pple Weekly 12 Weeks 480
Facilitators 150 x 2 pple Weekly 12 Weeks 3600
Incidental expenses 100 Weekly 12 Weeks 1200
TOTAL TRAINING 26880
Door to door campaigns
600 X 12 towns
Quarter
3 Months
21600
TB durbars/ campaigns 600 X 12 towns Monthly 1 Month 8400
TOTAL TB CAMPAIGNS/DURBAR
30000

TOTAL PROPOSED BUDGET
91,110. Ghana Cedis


Total cost of project is estimated at ninety one thousand, one hundred and ten Ghana Cedis.


Declaration

Declaration of interests:
KEBA AFRICA wishes to express its interest to join the stop TB program

Application date: February 12, 2010
Last updated: July 24, 2012