A Touch of Care

Her community strongly believes that TB is a result of a person being under the influence of black magic or an evil spirit. Additionally, the community elders believe women under the influence of this black magic cannot become mothers again and, therefore, must be isolated from family.

They discussed government schemes for free medication and care from qualified doctors at medical facilities closer to their home. The AHSA convinced Poonam’s husband that she needed medical care and accompanied her to the district hospital. At the hospital, the doctor observed that Poonam was undernourished, weighing just 25 kilograms, and tested her sputum. Once the test results confirmed pulmonary TB, the ASHA supported Poonam in adhering to her treatment plan and making sure she had access to nutrition and care from family during her weekly household visits. Grateful for the ASHA’s intervention and follow-up with her and her family, Poonam said, “I have realized the life of hell and heaven in very short span of time.”

The coaching the ASHA received from PSI India team helped her to effectively support Poonam. The ASHA also dispelled myths about TB affecting fertility in the community. Because Poonam dreams of her son getting a good education and having a successful career away from the poverty of the slums, she and her husband decided that she would use an intrauterine contraceptive device (IUCD) so they would have time and resources to make her dream a reality. Poonam credits the AHSA’s counseling for the decision to adopt a family planning method.

During a routine household visit, an ASHA mentored by TCIHC observed Poonam’s
condition and for the next few days repeatedly visited Poonam’s house
to educate her mother-in-law and husband on TB care and the
effectiveness of TB medication.