TB Alliance DOTS Support Association
Information provided by the TB/HIV Resource Agency
TADSA endeavors to develop capacity and skills within NGOs and health services to implement and manage community based TB/HIV/AIDS Care and by so doing impact on the dual pandemics of TB and HIV/AIDS ravishing communities in South Africa.
TADSA is contracted to the National TB Control Program and National HIV/AIDS and STD Directorate to provide training, research and capacity building for their National TB/HIV/AIDS Program in all 9 provinces.
TASDSA has a partnership with Doctors of the World in New York who supply epidemiological support, management consultantancies, networking opportunities and a link into the international health arena.
TADSA works in collaboration with SANTA- the South National TB Association and NACOSA- the National AIDS Convention of South Africa and a range of TB, and HIV/AIDS delivery organisations. TADSA is based in Cape Town and has a staff of 8 professional trainers and support staff.
Outputs of TADSA
The project consists of 4 main components:
National TB/ HIV/AIDS Implementation Program.
TADSA works in collaboration with the Provincial Health Departments in all 9 provinces to establish one new TB/HIV/AIDS Model Demonstration and Training District (DTD) per year per province. By the end of 2002, the project will have established 27 new Model DTD’s.
Each DTD will have at least 10 trained trainers and 10 facilitators. The trainers and facilitators, who are employed by local NGO’s and community organisations and the health services are then expected to train at least 10 treatment supporters per trainer/facilitator team. Each team of facilitators and treatment supporters are then expected to establish a community-based program which will include both DOT for TB patients and HIV/AIDS services. The HIV/AIDS services presently includecondom distribution, encouragement of voluntary counseling and testing, referral to local services for HIV-infected persons, and provision of basic HIV/AIDS education.
The concept of setting up a model DTD in each
province is based on that DTD being an example as well as a resource for
other health districts. Trainers from each model DTD are expected to be
available to train in neighboring districts where community-based DOT
and HIV/AIDS services have yet to be established, so as to maximise the
"roll out" effect on a national level.
In addition to the National TB/HIV/AIDS Implementation Program, TADSA will facilitate the expansion of community TB and HIV/AIDS programs through additional training and capacity building in especially under-resourced regions carrying the worst burdens of disease. The Western Cape, Northern Cape, Kwazulu-Natal, Eastern Cape and the Northern Province have been identified as priority provinces, but pockets of great need exist in all 9 South African provinces, particularly in rural areas. The nature of the provincial outreach work will be determined by a needs analysis, and could include setting up further DTD’s, management and financial training for NGO’s, and/or treatment supporter and nurse training . In 2000 TADSA focused its attention on the Western Cape and Gauteng. Expansion in 2001 will begin with the KwaZulu-Natal and Eastern Cape provinces, but may occur at any site where need is great and stakeholder commitment exists.3) Local NGO and Community Capacity Building
TADSA provides organizational support for groups whose personnel it has trained. Organizational support and capacity building will focus on the areas of advocacy, project management, and fundraising skills.
Training programs, staff development and management
interventions will be implemented in consultation with each NGO and will
remain focused on increasing capacity to expand community TB/HIV/AIDS
Social marketing campaigns utilising a range of media will target communities with high TB and HIV co-infection rates as well as stakeholders in a position to mobilise resources for community TB/HIV/AIDS programs. Multi-level marketing campaigns will be co-ordinated on a national basis, utilising primarily radio and the print media, as well as cultural events and community programs.
Tel (27)(21) 918 1556
Fax (27)(21) 945 1758