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. 2015 Dec 21;5(4):246-8.
doi: 10.5588/pha.15.0048.

Intensified tuberculosis case finding amongst vulnerable communities in southern India

K K Reddy  1 , R Ananthakrishnan  2 , A G Jacob  3 , M Das  4 , P Isaakidis  4 , A M V Kumar  3
Affiliations

Intensified tuberculosis case finding amongst vulnerable communities in southern India

K K Reddy et al. Public Health Action. .

Abstract
in English, French, Spanish

India mainly uses passive case finding to detect tuberculosis (TB) patients through the Revised National Tuberculosis Control Programme (RNTCP). An intensified case finding (ICF) intervention was conducted among vulnerable communities in two districts of Karnataka during July-December 2013; 658 sputum smear-positive TB cases were detected. The number of smear-positive cases detected increased by 8.8% relative to the pre-intervention period (July-December 2012) in intervention communities as compared to an 8.6% decrease in communities without the ICF intervention. ICF activities brought TB services closer to vulnerable communities, moderately increasing TB case detection rates.

L'Inde recourt en majorité à la détection passive des cas de patients avec la tuberculose (TB) à travers le Programme national révisé de Lutte contre la Tuberculose. Une intervention de recherche intensifiée de cas (ICF) a été réalisée au sein de communautés vulnérables dans deux districts de Karnataka entre juillet et décembre 2013 ; 658 cas de TB à frottis positif ont été détectés. Le nombre de cas à frottis positif a augmenté de 8,8% par comparaison à la période précédant l'intervention (juillet–décembre 2012) dans les communautés bénéficiaires comparées aux 8,6% de diminution dans les communautés témoins. Des activités de recherche de cas intensifiées ont amené les services de TB plus près des communautés vulnérables, ce qui a accru modérément le taux de détection des cas de TB.

En la India se da preferencia a la estrategia de búsqueda pasiva con el fin de detectar los casos de tuberculosis (TB) en el marco del Programa Nacional Revisado. Se llevó a cabo una intervención de búsqueda intensificada de casos en las comunidades vulnerables de dos distritos de Karnataka de julio a diciembre del 2013 y se detectaron 658 casos de TB con baciloscopia positiva. El número de casos con baciloscopia positiva aumentó un 8,8% con respecto al período anterior a la intervención (de julio a diciembre del 2012) en las comunidades de la intervención, en comparación con una disminución de 8,6% en las comunidades que no recibieron la intervención. Las actividades de intensificación de la búsqueda de casos llevaron los servicios de atención de la TB a las comunidades vulnerables y aumentaron de manera moderada las tasas de detección de la enfermedad.

Keywords: India; Project Axshya; SORT IT; active case finding; marginalised groups.

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References

    1. Indian Ministry of Health and Family Welfare. TB India 2013. Revised National Tuberculosis Control Programme: annual status report. New Delhi, India: Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare; 2013. http://www.tbcindia.nic.in/ Accessed November 2015.
    1. Indian Ministry of Home Affairs. Directorate of Census Operations–Karnataka, 2011. Bangalore, India: Ministry of Home Affairs, Directorate of Census Operations; 2012. http://censuskarnataka.gov.in/ Accessed November 2015.
    1. Parija D, Patra T K, Kumar A M et al. Impact of awareness drives and community-based active tuberculosis case finding in Odisha, India. Int J Tuberc Lung Dis. 2014;18:1105–1107. - PMC - PubMed
    1. Yassin M A, Datiko D G, Tulloch O et al. Innovative community-based approaches doubled tuberculosis case notification and improved treatment outcome in Southern Ethiopia. PLOS ONE. 2013;8:e63174. - PMC - PubMed
    1. Eang M T, Satha P, Yadav R P et al. Early detection of tuberculosis through community-based active case finding in Cambodia. BMC Public Health. 2012;12:469. - PMC - PubMed

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