Table 1 Roles and responsibilities of different providers
Cadre | Job description | Role specific to TB REACH | What attracted them to their overall role |
|---|---|---|---|
HEW | Trained for 1 year, salaried members of formal health system; range of duties across 16 health packages | Collecting sputum, producing smears, supporting patient treatment seeking journey | ‘I was motivated to serve the community’; preventing disease amongst their own communities, supporting their families (financially), employment, inspiration from other HEWs, starting a career in the health sector |
CHP | Unpaid volunteers, selected by communities with a play a support role to HEW across the 16 packages | Supporting HEW in the above, identifying possible TB cases | ‘the community chose me’; ‘I know the community health problem and I accepted willingly to serve community’ |
District supervisors | A new cadre specific to TB REACH | New cadre specific to TB REACH; duties include supervising HEW and ensuring smooth running of the project in their district. | Wanting to go ‘deeper into the TB problem’, ‘to help people’, to ‘see people be cured’, ‘to bring about change’, Professional development, status and promotion were also important contributory factors. |
Laboratory technicians | Existing staff performing routine laboratory tests, working in health facilities. | Processing additional smears prepared by HEWs in addition to smears prepared in the laboratories. | Serving communities, status of ‘the white coat’, interest in health and science; Serving society through the pledge they have undertaken |