1977
DOI: 10.1016/0041-3879(77)90012-5
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A study of the use of community leaders in case-finding for pulmonary tuberculosis in the machakos district of Kenya

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1978
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Cited by 14 publications
(3 citation statements)
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“…This policy was based on results of active case-finding studies in India and Kenya in the 1970s and 1980s (7)(8)(9)(10)(11)(12), which found that most people with prevalent TB had sought care previously for their respiratory symptoms, suggesting that improved case detection in health facilities would effectively identify people with TB.…”
mentioning
confidence: 99%
“…This policy was based on results of active case-finding studies in India and Kenya in the 1970s and 1980s (7)(8)(9)(10)(11)(12), which found that most people with prevalent TB had sought care previously for their respiratory symptoms, suggesting that improved case detection in health facilities would effectively identify people with TB.…”
mentioning
confidence: 99%
“…In the 1970s in Kenya, direct questioning of community leaders yielded satisfactory results in detecting suspected TB in individuals with chronic cough, which consequently led to smear-positive rates of 1.5% to 2.3%. 12 Although this rapid questionnaire approach is operator-dependent for the identification of chronic cough cases, it results in a consistent increase in TB case detection at an extremely low cost. Repeated application with preliminary additional information to village key informants is likely to increase its performance.…”
Section: Discussionmentioning
confidence: 99%
“…In Kenya, training of community health workers and private providers is common [19,35,[40][41][42][43][44][45][46]. Improvements in diagnostic or prescribing practices have been reported following training, but patient treatment outcomes are infrequently linked to investments in capacity building [19,37].…”
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confidence: 99%