Through its SOLUCION TB program, which ended in 2012, PCI helped transform Mexican efforts to reduce the number of people who die of tuberculosis and significantly increase the number of people who are fully cured. In partnership with the Mexican TB Control Program, PCI has built a reputation for having a unique approach to TB control, one that involves strengthening a comprehensive system for TB prevention and control at local, state and national levels, and promoting a person-centered, rather than disease-centered, model.
PCI addressed stigma and discrimination in the general public as well as in the health care system by using facilitation techniques learned through village-based attitude and behavior change efforts around the world. Unique approaches to increasing awareness and decreasing stigma, while involving persons affected with TB, included Photovoice (an exhibit of photos and stories created by persons affected and linked to advocacy efforts) and the TB Shack (a three-dimensional version of Photovoice that people could walk through to get a sense of what living with TB is like).
As the collaboration between PCI and the Mexican government evolved and resources for TB programming in Mexico shrunk, PCI provided more specialized support, eventually focusing on TB co-morbidities (TB and HIV as well as TB and diabetes). Now, thanks to this collaborative work, individuals who request services for diabetes or HIV/AIDS are also tested for TB and vice versa, improving early diagnosis and consequently preventing complications and further damage to people affected. Improving the national health system and health professionals’ awareness and understanding of these co-morbidities has been, and will continue to be, a lifesaving intervention.