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Free Content Success of active tuberculosis case detection among high-risk groups in urban slums in Pakistan

BACKGROUND: In Pakistan, patients with symptoms suggestive of tuberculosis (TB) seek care from a wide array of health care providers, many of whom do not notify cases to the National TB Programme (NTP).

SETTING: We evaluated an active case detection intervention in five randomly selected districts in urban slums of Sindh Province, Pakistan.

OBJECTIVE: To evaluate the increase in case notification of smear-positive TB by active case finding at community-based chest camps by engaging the private providers.

DESIGN: A cross-sectional study of TB case detection associated with a project using integrated intervention and chest camps.

RESULTS: From April 2011 to September 2012, the total number of clients seen in the camps was 165 280. Of all the attendees, 13 481 (12.7%) were examined by sputum smear microscopy. The proportion of smear-positive results was significantly higher among those from engaged private providers than among those referred from camps (OR 1.54, 95%CI 1.42–1.66). During the project, the total number of smear-positive TB notifications increased over the intervention period from 5158 to 8275.

CONCLUSION: Active case detection by engaging private providers and chest camps can significantly increase the number of smear-positive TB case notifications.

Keywords: active case detection; chest camps; private providers; tuberculosis

Document Type: Research Article

Affiliations: 1: National Tuberculosis Control Program Pakistan, Islamabad, Pakistan 2: International Union Against Tuberculosis and Lung Disease, Paris, France, University of Stellenbosch, Stellenbosch, South Africa 3: TB REACH Stop TB Partnership, World Health Organization, Geneva, Switzerland 4: HLSP Institute, London, UK 5: University of Bergen, Bergen, Norway

Publication date: September 1, 2014

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