ACSM activities at different levels
ACSM activities at individual, family, and community levels are crucial for TB control. These target behavior change through counseling, support, and resource mobilization.

Advocacy, Communication and Social Mobilization (ACSM) Activities at Different Levels
Advocacy, Communication and Social Mobilization (ACSM) activities must place the individual at the centre, and also target other audiences to bring about sustained changes in TB perceptions and behaviours. Some of the indicative ACSM activities targeting individuals, family, community and society are:
Individual
Specific interventions that ensure sustained engagement of people or individuals in maintaining positive behaviours or changing to desired behaviours. Examples include counselling, use of positive TB messages, and messages from TB champions.
Family
Interventions that create an enabling environment for promoting positive behaviour change and developing necessary skills for a person affected by TB. An example is counselling of the entire family.
Community
Mobilize groups toward a common goal, raise local resources, and foster support and awareness for TB-related issues. Examples include conducting TB awareness campaigns in public places, melas, and street dramas.
Society
Advocates for rights-based and socially inclusive approaches and seek support for the TB programme. Examples include workshops and seminars to drive change in legislation, policy, partnerships, and resource allocation.
Aimed at individuals, families, communities, and society, varied ACSM activities are undertaken at the national, state, district, and community levels to:
- Create awareness and an enabling environment
- Build capacities to bring about desired changes in TB-related health behaviour
- Sustain positive behaviour
The detailed activities for various target audiences and definitions of the ACSM indicators are given in Annexure 4.
Resources
- Operational Handbook on Advocacy, Communication, and Social Mobilization (ACSM), NTEP, 2014
- NTEP Training Modules 5-9 for Programme Managers & Medical Officers, 2020