Impact of awareness drives and community-based active tuberculosis case finding in Odisha, India

Parija, Debadutta; Patra, T. K.; Kumar, Ashwini; Swain, Basanta Kumar; Satyanarayana, Srinath; Sreenivas, A.; Chadha, V. K.; Moonan, Patrick K.; Oeltmann, John E.

doi:10.5588/ijtld.13.0918

Cited by 30 publications

(37 citation statements)

References 2 publications

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“…Community-based ICF interventions implemented elsewhere in India and other countries have shown similar results; this reflects the replicability and scalability of such interventions. [3][4][5] An intervention in Orissa, India, increased case detection by 11%. 3 A similar ICF activity conducted in Ethiopia doubled the pulmonary TB case notification rate, from 64 to 127/100 000 population/year.…”

Section: Public Health Actionmentioning

confidence: 99%

“…[3][4][5] An intervention in Orissa, India, increased case detection by 11%. 3 A similar ICF activity conducted in Ethiopia doubled the pulmonary TB case notification rate, from 64 to 127/100 000 population/year. 4 In the results of the FIDELIS (Fund for Innovative DOTS Expansion through Local Initiatives to Stop TB) project in China, which massively mobilised school students for case finding, the case detection in intervention counties increased by a factor of 3.5 relative to the pre-intervention period.…”

Section: Public Health Actionmentioning

confidence: 99%

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Intensified tuberculosis case finding amongst vulnerable communities in southern India

Reddy

Ananthakrishnan²,

Jacob³

et al. 2015

public health action

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Section: Public Health Actionmentioning

confidence: 99%

Section: Public Health Actionmentioning

confidence: 99%

Intensified tuberculosis case finding amongst vulnerable communities in southern India

Reddy

Ananthakrishnan²,

Jacob³

et al. 2015

public health action

Self Cite

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“…In Myanmar, community intervention was shown to increase case notification rates compared to household and neighborhood interventions [24]. The involvement of community volunteers in TB control was also found to increase the yield of diagnosis by 12% and reduce diagnostic delay in India and Nepal, respectively [25–27]. A patient-led active case finding strategy implemented in the Democratic Republic of Congo (DRC) reported an increase in TB diagnosis, and the intervention was highly acceptable by the communities, health facilities, and patient leaders.…”

Section: Discussionmentioning

confidence: 99%

Acceptability of active case finding with a seed-and-recruit model to improve tuberculosis case detection and linkage to treatment in Cambodia: a qualitative study

Tuot

Teo

Cazabon

et al. 2019

Preprint

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2728 Background 29 With support of the national tuberculosis (TB) program, KHANA has implemented an innovative 30 approach using a seed-and-recruit model to actively find TB cases in the community. The 31 intervention engaged community members including TB survivors to recruit people with TB 32 symptoms in a 'snowball' approach for screening and linkage to treatment. This study aims to 33 explore the acceptability of active case finding with the seed-and-recruit model in detecting new 34 TB cases and determine the characteristics of successful seeds. 36 Methods37 This qualitative study was conducted in four provinces (Banteay Meanchey, Kampong Chhnang, 38 Siem Reap, and Takeo) in Cambodia in 2017. Fifty six in-depth interviews and ten focus group 39 discussions were conducted to gain insights into the acceptability, strengths, and challenges in 40 implementing the model. Transcripts were coded and content analyses were performed. 42 Results 43The seed-and-recruit active case finding model was generally well-received by the study 44 participants. They saw the benefits of engaging TB survivors and utilize their social network to 45 find new TB cases in the community. The social embeddedness of the model within the local 46 community was one of the major strengths. The success of the model also hinges on the 47 integration with existing health facilities. Having extensive social network, being motivated, and 48 having good knowledge about TB were important characteristics of successful seeds. Study 49 participants reported challenges in motivating the recruits for screening, logistic capacities, and 50 high workload during implementation. However, there was a general consensus that the model 51 ought to be expanded. 52 53 Conclusions 54 These findings indicate that the seed-and-recruit model should be fine-tuned and scaled up as 55 part of the national TB Program to increase TB new case detection in Cambodia. Further studies 3 56 are needed to more comprehensively evaluate the impacts and cost-effectiveness of the model 57 in Cambodia as well as in other resource-limited settings. 58 59 60 61 Introduction62 Cambodia is one of the 30 countries with a high burden of tuberculosis (TB) [1]. In 2016, the 63 national incidence and prevalence rates of all forms of TB were 345/100,000 population and 64 668/100,000 population, respectively [2]. These rates have reduced substantially since 1990, and 65 a similar decline was observed in the TB mortality rate [2,3]. Cambodia has made notable 66 progress in the fight against TB by achieving a treatment success rate of 94%, one of the highest 67 among the 30 high TB burden countries [4]. However, the successes are impeded by a significant 68 proportion of under-diagnosed cases. Globally, it is estimated that 36% of TB cases were 69 undiagnosed in 2017, and a similar proportion is observed in Cambodia [5][6][7]. 70In Cambodia, TB disproportionately affects people living with HIV, household and close 71 contacts of bacteriologically confirmed cases, elderly above the age of 55, ...

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“…Prospective study on inclusion of the family member as a DOT provider for paediatric patients in state of GujaratYes [29]18. Intensified Case Finding from the Community Level in 10 identified low case detection districts, Odisha, April–September 2012 – a Descriptive StudyYes [46]19.Contribution of Mobile Medical Unit for identifying TB suspects and cases in Mohali District, PunjabYes [56]20. Intensified TB case finding at Nutritional Rehabilitation Centres of Bihar, IndiaYes [50]21.…”

Section: Implementation Of Operational Research Training Coursesmentioning

confidence: 99%

“…In order to achieve this, it identified active case finding among vulnerable and marginalised populations as one of the key strategies. An OR study done as part of the course in the state of Orissa documented that active case finding increased the detection of TB cases by ~10% when compared to control areas [46]. Project Axshya used this study to convince the Global Fund to incorporate active case finding as one of its key activities under the project.…”

Section: Contribution Of or To Policy And Practicementioning

confidence: 99%

Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice

Sagili¹,

Satyanarayana

Chadha³

et al. 2018

Global Health Action

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Background: The Global Fund encourages operational research (OR) in all its grants; however very few reports describe this aspect. In India, Project Axshya was supported by a Global Fund grant to improve the reach and visibility of the government Tuberculosis (TB) services among marginalised and vulnerable communities. OR was incorporated to build research capacity of professionals working with the national TB programme and to generate evidence to inform policies and practices. Objectives: To describe how Project Axshya facilitated building OR capacity within the country, helped in addressing several TB control priority research questions, documented project activities and their outcomes, and influenced policy and practice. Methods: From September 2010 to September 2016, three key OR-related activities were implemented. First, practical output-oriented modular training courses were conducted (n = 3) to build research capacity of personnel involved in the TB programme, co-facilitated by The Union, in collaboration with the national TB programme, WHO country office and CDC, Atlanta. Second, two large-scale Knowledge, Attitude and Practice (KAP) surveys were conducted at baseline and mid-project to assess the changes pertaining to TB knowledge, attitudes and practices among the general population, TB patients and health care providers over the project period. Third, studies were conducted to describe the project’s core activities and outcomes. Results: In the training courses, 44 participant teams were supported to develop research protocols on topics of national priority, resulting in 28 peer-reviewed scientific publications. The KAP surveys and description of project activities resulted in 14 peer-reviewed publications. Of the published papers at least 12 have influenced change in policy or practice. Conclusions: OR within a Global Fund supported TB project has resulted in building OR capacity, facilitating research in areas of national priority and influencing policy and practice. We believe this experience will provide guidance for undertaking OR in Global Fund projects.

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Impact of awareness drives and community-based active tuberculosis case finding in Odisha, India

Cited by 30 publications

References 2 publications

Intensified tuberculosis case finding amongst vulnerable communities in southern India

Intensified tuberculosis case finding amongst vulnerable communities in southern India

Acceptability of active case finding with a seed-and-recruit model to improve tuberculosis case detection and linkage to treatment in Cambodia: a qualitative study

Operational research within a Global Fund supported tuberculosis project in India: why, how and its contribution towards change in policy and practice

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