Advancing Health Equity through Impactful Integrated Health Screening Initiative in Lesotho
As the global community marked World Tuberculosis (TB) Day on the 24th March 2024 with the theme "Yes! We can end TB!", conveying a message of hope that getting back-on-track to turn the tide against the TB epidemic is possible through high level leadership, increased investments and faster uptake of new WHO recommendations. Lesotho found itself at the forefront of the battle against this pervasive disease.
World Vision International Lesotho (WVI), in collaboration with the Ministry of Health, took proactive steps towards ending TB and improving health outcomes for vulnerable populations through innovative approaches and community-driven initiatives.
TB remains a pressing concern in Lesotho, affecting 14% of the population, including 1,100 children. Alarmingly, 26% of TB patients, including 909 children, are lost to follow-up, posing significant challenges in managing the spread of the disease. Recognizing the urgent need for action, World Vision's Health, HIV, and Nutrition Programme implemented a comprehensive strategy to raise awareness, educate communities, and provide integrated health services.
"The Health Screening initiative has been a lifeline for me and my family. I never knew much about TB and other non-communicable diseases, but now I feel empowered to take charge of my health and seek treatment if needed." - Mamello, a community member.
One of the critical challenges in TB prevention has been the lack of knowledge and delayed diagnosis, particularly among children. Children under five years old face difficulties in producing sputum for diagnosis, making X-rays the preferred diagnostic modality. However, access to X-rays is limited to hospitals, posing barriers for vulnerable communities.
"This initiative has given me peace of mind knowing that I am taking proactive steps to safeguard my health. I am grateful to World Vision for organizing such an important initiative that shows they truly care about our well-being." - Tšepo, a TB screening participant.
External factors exacerbating the TB problem include the geographical distance of health facilities from communities, lack of resources such as sputum induction machines for children, migration to South Africa, and misconceptions about TB that lead to poor health-seeking behaviors.
"The health screening event was an eye-opener for me. I learned about the importance of early detection and treatment of both TB and Cervical Cancer, and I feel hopeful about the future knowing that organizations like World Vision are working tirelessly to improve our health." - Mpho, a Cervical cancer screening participant.
World Vision's holistic approach, which integrates TB screening with other essential health services, promotes early detection and treatment initiation, thereby reducing TB incidence and improving overall community health outcomes.
"I used to feel helpless in the face of TB, but now I feel empowered knowing that there are resources and support available to me. The TB screening event organized by World Vision has renewed my hope for a healthier future." - Nthabiseng, a TB survivor.
Through partnerships with Village Health Workers and health facilities, World Vision ensures community engagement and participation in TB and non-communicable disease prevention and treatment efforts. This community-led approach fosters sustainable change and promotes health equity.
"The Health Screening event exemplifies the impact of community-led initiatives in driving positive change. Through collaboration with local partners and the dedication of our staff, we are making tangible strides in the fight against TB and improving the health outcomes of vulnerable communities." - Hopolang Lentsha, World Vision Health, HIV & Nutrition Technical Development Facilitator.
World Vision's Health screening initiative in Lesotho served as an example to the power of partnership, community engagement, and innovative approaches in tackling TB. As Lesotho continues its journey towards a TB-free future, World Vision's holistic approach sets a precedent for progress, equity, and resilience in global health.