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Organization Contact Information

Name: KANEKA RURAL CLINICS ADVISORY & NUTRITIONAL CENTERS (KARUCAN)
Street 1: Off - Kasese -Mbarara Road Kasese , KMC -Central Division
Street 2: Off - Kasese -Kilembe Road , DownoWhite House Hotel,opp.Kamwe kamwe Bar & Lodge Kasese, KMC - Central Division
City: Kampala
Province: Kasese Municipal Council Rwenzori Region Western Uganda
Post Code: +256
Country: Uganda
Phone: +256701970197
Email: karucanprojects@yahoo.com
Web Site:

Focal Point Contact Information

Salutation: Mr.
First Name: Nelson
Last Name: Kasaija
Title: Executive Director /Director of Public Health &Infectious Disease Control Dept.
Email: nelsonkasaija@yahoo.com
Phone: +256782970397

Alternate Focal Point Contact Information

Salutation: Mrs.
First Name: Majiri
Last Name: Biira.K.
Title: Finance Adminstrator/ Treasurer
Email: biira.k.majiri@gmail.com
Phone: +256773018828

General Information

Board Constituency: Developing Country NGO
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:
Kaneka Rural clinics Advisory and Nutritional Centers (KARUCAN) is a registered local NGO No. 4055 formed on the 15th day of April, 1997, with 25 founder members who arePublic health,Medical and social workers by profession, but with different management committees including community representatives from different backgrounds, including,PWDs, PLWTHAs and TB.

KARUCAN, was therefore, formed after the realization of the existing poor health, social status of the community/target population including the youth/Adolescents in Kasese District and its neighboring communities.

BRIEF OVER VIEW OF THE POOR STATUS:
As we appreciate other Existing key players in the Health sector, there is still prevailing poor health and social conditions that need extreme attention from time to time to reduce on the high infant, maternal morbidity and mortality rates (IMMR). Fortunately, at least over 75% diseases/Conditions are preventable, as key function of public Health.

HEAD QUARTERS LOCATION: KARUCAN has its head offices -off Kilembe Rd, down White House Hotel, opposite kamwe kamwe bar and lodge. While with H/C in Rail way village in Town Centre Parish in Kasese Municipality, Central Division Kasese District in the Rep.of Uganda.

How ever, the organization is soon establishing its National office in Kampala early 2012 for proper Coordination of its activities/ services.

ORGANISATION VALUES:
• Respect for our employees:
• Responsiveness to our clients:
• Integrity and professionalism:
• Respect for diversity:
• Teamwork:
• Efficiency/ Effectiveness:
• Commitment:
• Creativity:
• Social responsibility:
VISION: “To have a Healthy, Empowered, developed and stigma /discrimination free Society with improved livelihood”
MISSION: “To improve quality and increase provision of health, human rights and good governance,community empowerment, education/Training and agricultural extension services for improved livelihood of the marginalized.

Objectives:
To Promote and implement both
 
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: 1 - 5
 
What is your organization's annual budget (USD) dedicated to TB? $100,001-$500,000
How did you hear about the Stop TB Partnership: Internet search
If you were informed or referred by another partner of the Stop TB Partnership please tell us who:
Why do you wish join the Stop TB Partnership: Network with other partners
 
Are you a member of a Stop TB national partnership: Uganda
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:
For Nine (9) years, KARUCAN has been involved in provision of quality health services in Kasese District, Western Uganda. In the area of TB care, KARUCAN has been active in:
-Community sensitization and creating awareness about TB,TB screening and diagnosis by microscopy, Participation in Community Based Directly Observed Therapy strategy
Achievements
- Establishment of a community health center for treatment and prevention of common illnesses and injuries including TB
- Established a diagnostic laboratory for detection of TB cases
- Established integrated outreaches where TB screening, health education and prevention messages are passed onto the community
 

Geographical Reach

Which country is your headquarters located in: Uganda
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)
Uganda

Specializations

Advocacy
Delivery of health services and care
Research and Development

Specializations in Countries

Delivery of health services and care Uganda

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:

TB Care Delivery:
As KARUCAN, we are planning to carry out early case detection through quality assured diagnosis.
We also pllanning ot enhance political commitiment in TB Care including VHT structures.
In addition we are lso planning to enhance affordable, Accessible, and free diagnostic Services including X-ray and Lab.Microscopy to TB/HIV affected Persons, if funded under TB REACH WAVE3.
In addition to the a bove, if funded, KARUCAN is planning to increase on TB are and Detectation by introducing and applying new innovotions in Kasese District Mid Western Region of Uganda as listed below:
- mobile phone technology for reporting
- reaching out to neglected but high risk populations (fishing communities, miners, prisons) through mobile and satellite clinics
- initiating TB outreaches in hard to reach areas
- use of community own resource persons in identifying, referral and follow-up of TB suspects and cases
- Use of TB Clients to identify and refer they fellow TB Suspects and Cases to KARUCAN Static and Outreach Sites.


TB-HIV:
As KARUCAN, if funded under TB REACH WAVE4, we are planning to contribute on this Section the following objectives and activities as mentioned below:

Objective 1: Increase community access to early TB diagnosis and treatment through private health providers and mobile phone technology
By increasing access, by the community to TB diagnostic services, the number of TB cases detected early will be increased.
Activity 1.1 increase the private health providers’ ability to offer TB screening and diagnosis
Under TB REACH, KARUCAN will improve the quality of clinical services for TB screening and diagnosis through the private health facilities. These centers currently offer a wide range of clinical services including laboratory services. However, TB care services are not fully integrated and less emphasis is put on active identification of TB cases.
KARUCAN shall facilitate a rapid assessment of TB services available in each facility to identify the gaps in service availability and quality, including the extent to which the services are offered in an integrated and clientele-friendly manner.
Private health facilities are not always aware and may not apply the current Ministry of Health and the National TB/Leprosy Control guidelines and standards of practice (SOPs) that are essential for quality and consistent services. Therefore KARUCAN will work with its partners to orient all providers on the national and international guidelines of care for TB.
To encourage sustainable quality improvement mechanisms, KARUCAN will collaborate with the District Health Teams in the respective districts including the District TB Supervisor and the Regional TB supervisor to develop a joint supportive supervision plan that outlines the role of each DHT, the partners and KARUCAN. In collaboration with the DHT, KARUCAN will participate in monthly supervision visits and technical follow-ups using this as an opportunity to coach partners on support supervision techniques and ensure that partners are applying new skills and tools to offer quality integrated services.
Activity 1.2 Increase the availability of integrated TB services through Satellite Mobile Clinics at workplaces, strategic community outreach sites and prisons.
Many people in these districts work in industries or workplaces without formal health services, such as fishing in Ntoroko , Katunguru , and Hamukungu, fishing sites; mining in Kasese Cobalt Company Ltd (KCCL), Hiima Cement Factory, Muhokya Lime factory and Katwe salt extraction factory. These don’t only pose an added risk for TB transmission; but these people are already loosely organised and geographically concentrated. Workplaces represent a critical and unexploited opportunity to expand TB services. Satellite or mobile clinics will be set up in these communities where people can access TB diagnosis and treatment.
Also, the region has a variety of communal markets that operate in various locations on a weekly and monthly basis and daily local markets. This also provides a platform of accessing a large proportion of people in a single locality to receive TB services.
Prisons health services are poorly organised and facilitated. KARUCAN will help establish TB clinics in all prisons in these districts.
Activity 1.3 Empower and improve the ability of community volunteers, community adherence support agents, village health teams to report and refer suspected TB cases by Mobile Phone Technology.
Community members for some reasons may not be able or willing to access health facilities or outreach sites; but can confide in community members they call their own. These people will be selected from the community to help in identifying people with symptoms of TB, collect their sputum samples and transport and or refer them to health facilities for examination. They can also trace contacts, support patients to adhere to treatment including collecting refills from the health facilities.
Mobile phone software will be developed to enable them report such cases to the nearest health centre.
Objective 2: strengthen TB collaboration activities
Activity 2.1: Integrate TB care in routine Clinical Care, Maternal and Child Health and HIV/AIDS activities.
Different people access different health services such as immunizations, family planning, Out-patient clinics. These provide avenues for screening for TB especially among children.
Activity 2.2 provide isoniazide preventive therapy to PLHIV with latent TB
Isoniazid shall be given to PLHIV with latent Mycobacterium tuberculosis in order to prevent progression to active disease. Latent TB shall be confirmed using mauntoux skin test. Exclusion of active TB shall be first be done using microscopy and or x-ray at or by other approved means as may be available at the time, in line with National and international guidelines. KARUCAN, through TB REACH shall establish linkages and functional referral systems to the District Based Hospitals of Bwera and Bundibughyo and the regional referral hospital of Fort portal Regional Referral Hospital.
Activity 2.3 Provide diagnostic HIV counseling and testing to TB patients
KARUCAN shall ensure HIV counseling is offered to all TB patients and testing done to all those who consent. This shall offer an entry point for a continuum of prevention, care support and treatment for HIV/AIDS as well as for TB. Benefits of this accrue to the patient, family and the community.







Declaration

Declaration of interests:
My information is correct and that there are no known conflicts of interest.

Application date: March 14, 2011
Last updated: May 17, 2013