Details

Autor(en) / Beteiligte

• Pande, Tripti
• Vasquez, Nathaly Aguilera
• Cazabon, Danielle
• Creswell, Jacob
• Brouwer, Miranda
• Ramis, Oriol
• Stevens, Robert Hartley
• Ananthakrishnan, Ramya
• Qayyum, Shahina
• Alphonsus, Chukwuka
• Oga-Omenka, Charity
• Nafade, Vaidehi
• Sen, Paulami
• Pai, Madhukar

Titel

Finding the missing millions: lessons from 10 active case finding interventions in high tuberculosis burden countries

Ist Teil von

• BMJ global health, 2020-12, Vol.5 (12), p.e003835

Ort / Verlag

England: BMJ Publishing Group LTD

Erscheinungsjahr

2020

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Introduction In 2019, 10.0 million people developed tuberculosis (TB) yet 2.9 million were not notified to National TB programmes (NTPs).1 This is largely due to limited accessibility to healthcare services, underdeveloped health reporting systems, insufficient human resources and poor linkages between private providers and national authorities.2 There are various global initiatives to address this challenge, including the Find.Treat.All #EndTB initiative and the End TB strategy which aims to reduce TB incidence by 90% between 2015 and 2035.3 To support innovative programmes, approaches and technologies aiming to increase the number of people detected with TB in low-and-middle income countries (LMICs), the TB REACH initiative was launched in 2010. [...]to provide a holistic view, we also incorporated the perspectives of monitoring and evaluation (M&E) consultants and members of the TB REACH secretariat who are key stakeholders in the TB REACH initiative.Table 1 Characteristics of ACF implementors Country Year Organisation category Intervention type* Intervention Afghanistan 2017–2018 Non-governmental organisation Community outreach School girls were trained to screen women and girls in rural villages. South Africa 2013–2014 Non-governmental organisation Community outreach, key population Engaged community health workers and health workers to conduct household screening for TB and contact tracing. *Community outreach=conducting house to house screening within the community or mass screening events; contact tracing=screening contacts of people who had TB; systematic screening=screening a particular targeted population; key populations=those identified as vulnerable or targeted populations within the respective country/region. Previously documented successful ACF projects have overcome these issues by hiring local field staff, who live within the communities.6 9–12 Also, leveraging pre-existing systems and/or communities to assist with implementation in hard-to-reach areas and encouraging sustainability by strengthening current health systems and health infrastructure.13 14 For example, using renewable energy such as solar power to power facilities lacking electricity in rural areas.15 Lesson 2: project management Implementing project management skills enables ACF implementors to not only ensure execution of activities in the field, but to also recognise the need for an agile working environment where data-driven decision-making assists in risk mitigation and conflict management.