Decentralized Tuberculosis Surveillance for Advocacy, Local planning, and Action

Rakesh, P S; Balakrishnan, Shibu; Mrithunjayan, Sunilkumar; Philip, Sairu

doi:10.4103/ijcm.ijcm_583_21

Cited by 2 publications

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“…This assessment assessed the components of the ACF campaign’s outcomes against minimum indicators and elicited the challenges faced in implementation like manpower, loss manpower, loss to follow-up, and attrition. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 ] Based on the varying prevalence of TB, we need to prioritize the interventions in highly prevalent states and plan for elimination in low prevalent states. [ 5 ] The World Health Organization TB statistics for India for 2021 give an estimated incidence figure of 2.59 million cases, a rate of 188 per 100,000 population. [ 6 ] Hence, there is a need to undertake vulnerability mapping to move toward elimination as the follow-up to the hospital (public or private) on the development of TB symptoms was only 36.4% in a national TB prevalence survey study.…”

Section: Introductionmentioning

confidence: 99%

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Active Case Finding among Adults using an Individual’s Vulnerability Score for Pulmonary Tuberculosis in a Rural Village of Goa: A Cross-sectional Study

Dessai,

Krishnan,

Shah

2024

Indian Journal of Community Medicine

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Background: “Detect–Treat–Prevent–Build” to achieve tuberculosis (TB)-free India is envisaged in the National Tuberculosis Elimination Program (NTEP). To be able to achieve this, it is important to address the fact that the most vulnerable and hard-to-reach groups need to undertake screening. The present review aimed to examine the vulnerability in connection with TB disparities faced by distinct sub-populations generally viewed as vulnerable and follow these for testing. Materials and Methods: The community-based cross-sectional study was conducted in the field practice area of sub-center Carambolim in a rural area of Goa for 3 months. The households were visited, and data collected via personal interviews were recorded on the questionnaire study tool. Based on the data, the participants’ vulnerability mapping was done per the parameters identified. Results: Among 223 households, 528 persons were screened for vulnerability. The 47 highly vulnerable participants were advised sputum CBNAAT, of which 9 (19%) tested positive for pulmonary TB, while of the 86 moderately vulnerable participants, 4 (5%) tested positive for pulmonary TB. Among the 34 with symptoms suggestive of TB, 3 (9%) tested positive for pulmonary TB. Conclusions: The study detected 16 new TB patients from the population and found a higher incidence of pulmonary TB among the vulnerable group with no symptoms of Pulmonary TB. A further state-wide survey is recommended to diagnose such cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Active Case Finding among Adults using an Individual’s Vulnerability Score for Pulmonary Tuberculosis in a Rural Village of Goa: A Cross-sectional Study

Dessai,

Krishnan,

Shah

2024

Indian Journal of Community Medicine

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Local government stewardship for TB elimination in Kerala, India

Rakesh¹,

Nair

Kamala

et al. 2023

public health action

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<sec> <title>SETTING:</title> The southern Indian state of Kerala has implemented ‘Kerala Tuberculosis Elimination Mission’ as ‘People’s Movement against TB’ under the stewardship of local governments (LGs). The state has been certified by the Government of India for being on track to attain the UN Sustainable Development Goals related to TB elimination. </sec> <sec> <title>OBJECTIVE:</title> To document the role of LG stewardship in the successful implementation of the TB elimination activities in Kerala. </sec> <sec> <title>DESIGN:</title> 1) Key informant interviews with four state officials, 2) desk review of available documents, 3) in-depth interviews with seven LG leaders, three mid-level programme managers and three health department field staff. </sec> <sec> <title>RESULTS:</title> LG involvement led to the establishment of solutions based on local problems, enhanced outreach of services to the socially vulnerable individuals, improved treatment support to patients with TB, increased community ownership of TB elimination activities, reduced TB-related stigma and social determinants being addressed. Institutional mechanisms such as LG TB elimination task forces, formal guidance in planning interventions and appreciation of their performance in the form of awards were facilitators for LG involvement. </sec> <sec> <title>CONCLUSION:</title> LG stewardship can accelerate TB elimination. A good plan for engagement and institutional mechanisms are crucial for LG involvement. </sec>

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Decentralized Tuberculosis Surveillance for Advocacy, Local planning, and Action

Cited by 2 publications

References 0 publications

Active Case Finding among Adults using an Individual’s Vulnerability Score for Pulmonary Tuberculosis in a Rural Village of Goa: A Cross-sectional Study

Active Case Finding among Adults using an Individual’s Vulnerability Score for Pulmonary Tuberculosis in a Rural Village of Goa: A Cross-sectional Study

Local government stewardship for TB elimination in Kerala, India

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