Scaling Up Integrated Community Engage Tuberculosis and Non-Communicable Diseases with a Focus on Women and Children

Partnership objectives

To build the capacity of health care workers provide timely and responsive services on prevention, screening and treatment of pre-cervical cancer lesions and pediatric TB in Tharaka Nithi and Isiolo Sub counties.

A mother who’s child benefited from TB screening A mother who’s child benefited from TB screening Copyright BMS

What are the health needs and challenges?

Most of the eligible women of reproductive health in the project area and indeed in Kenya have never been screened for breast or cervical cancer. There is lack of capacity of health care workers to screen for cervical and breast cancers and low community awareness on breast and cervical cancers. Hence there are Weak referral systems, poor treatment and palliative services and the marginalised community we serve

Regarding tuberculosis, the case detection rate of all TB forms stood at 75% which means 25% of TB cases are still not detected in the country.

Description of partnership activities and how they address needs and challenges 

1) County Health Management Authorities (Ministry of Health) provides health staff to be trained and to carry out breast and cervical cancer screening and treatment of pre-cervical cancer and   pediatric TB

2) Ministry of Education supports implementation of awareness creation for cervical cancer in Girls secondary schools through school health program

3) Communities, Community Based Organizations, Non Governmental Organization for advocacy and social mobilization.

Summary of impact and forward looking information

In the 2 years that BMSF has supported ENGAGE TB activities in Isiolo County, over 150 community health volunteers have been trained on TB, they mobilized over 6,700 members of community on TB. Over the same period 1520 adult TB contacts were traced and referred to health facilities for evaluation and diagnosis, 107 were found with TB and started on anti-TB medications.  Over 3400 malnourished children attending child health clinic and children attending occupational therapy clinic due to delayed milestones were screened and evaluated for TB (X-ray, clinical, GeneXpert), 97 were found with active TB infection and put on medication.  Breast and cervical cancer intervention is newly started and we are looking forward to creating adequate community awareness and provide access to screening and treatment of pre-cervical cancer, screening for breast cancer and referral services.

Measurement of progress towards objectives: 

Estimated overall value of partnership:

  • USD 540,000

Estimated amount of people impacted:

  • 15,000

Partnership information

Company(ies) Bristol-Myers Squibb

Partner(s) County Health Management Teams, Kenya Ministry of Health, National TB Program Kenya

Type of Partner(s) Government

Therapeutic Focus Non-Communicable Diseases, Women and Children's Health, Infectious Diseases

Disease(s) Cervical Cancer, Children's Health, Tuberculosis, Women's Health

Program Type(s) Availability of Treatment - Technology Transfer - Scientific Collaboration and Knowledge Sharing, Health System Infrastructure - Development of Physical Infrastructure, Health System Infrastructure - Outreach & Medical Services, Health System Infrastructure - Training, Prevention Programs - Awareness & Outreach, Research & Development - Operations Research

Region(s) Sub-Saharan Africa

Number of Countries 1

Country(ies) Kenya

Start Date 2016

Anticipated completion date 2019

« My child almost died if it was not for the TB screening, I had lost hope in him. His illness had made me poor, what I earned I spent on doctors and expensive drugs. Why didn’t the doctors suspect TB at the start? »