Christian Children’s Fund (CCF)
In 2003, Christian Children’s Fund (CCF) Senegal began to offer community-based TB services. This case study documents that effort and suggests that community health staff and volunteers, with relatively short training, are able to successfully play critical roles within the Ministry of Health’s national tuberculosis program. This success relies on providing the health workers and volunteers with clear knowledge of what they were able to do themselves and when to refer to the health center. Their knowledge and skills are regularly assessed and reinforced through close and supportive supervision. Community participation is the second important piece, indispensible in overcoming powerful stigma.