The Break TB Programme, a six-month initiative, addressed Pakistan’s tuberculosis (TB) crisis by tackling critical barriers such as stigma, limited awareness, and challenges in healthcare availability, accessibility, acceptability, and quality (AAAQ). The programme empowered local youth as TB Champions, equipping them with tools to lead impactful community awareness campaigns, reduce TB-related stigma, and overcome social barriers through the innovative OneImpact digital health solution.

The primary objectives of the programme were as follows:

  • Train local youth to become TB Champions who will act as frontline advocates in their communities, enhancing awareness and to better understand the communities, legal environments, and gender dynamics at the heart of the TB epidemic.
  • Engage the community in proactive efforts to promote community, human rights, and gender in the TB response. These include the OneImpact Community-Led Monitoring Framework, the OneImpact mobile application that collects real-time data on human rights violations and barriers to TB services, and the Challenge Facility for Civil Society, a small grants mechanism that supports TB civil society and community groups
  • Understand the seven dimensions of the right to health framework: (1) availability, accessibility, acceptability, and quality (AAAQ); (2) nondiscrimination and equal treatment; (3) health-related freedoms; (4) gender perspective; (5) vulnerable and marginalized groups; (6) participation; and (7) remedies and accountability.
  • Provide ongoing support to maintain effective and sustained use of the platform to highlight barriers,act as future advocates and further support those in need for example the Key Vulnerable Populations (KVP).

DELIVERABLES

  • A comprehensive training package was developed to enhance TB awareness, reduce stigma, and promote the OneImpact platform. This package included a detailed facilitator’s training manual in English, an Urdu handbook for Tier 2 TB Champions, an awareness session presentation, and supporting materials such as posters and flyers.
  • A four-day Training of Facilitators was conducted in Islamabad, equipping 38 participants with the knowledge and skills to lead TB awareness and community engagement initiatives.
  • A multi-tiered outreach strategy was implemented, beginning with beneficiary mapping to identify key stakeholders. This was followed by seven capacity-building workshops for Tier 2 TB Champions and 74 awareness sessions held in educational institutions and community-based Social Action Projects (SAPs).
  • In each district, 36 SAPs were facilitated by Tier 2 TB Champions, promoting direct community engagement to promote TB awareness and encourage the use of the OneImpact platform. These efforts reached over 9800, with 980 OneImpact app downloads recorded through SAPs.