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Open Access Implementation of an active, clinic-based child tuberculosis contact management strategy in western Kenya

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Tuberculosis (TB) is a leading cause of childhood mortality. Isoniazid preventive therapy significantly reduces progression to TB disease. The World Health Organization recommends that high TB burden countries conduct child contact management (CCM) to identify exposed child contacts aged <5 years for screening and appropriate treatment. An active, clinic-based CCM strategy incorporating transport/screening reimbursement, monitoring and evaluation tools, and health care worker education was implemented in western Kenya. Among 169 identified child contacts aged <5 years, 146 (86%) underwent successful screening, of whom 43 (29%) were diagnosed with active TB. We describe our CCM strategy and its potential for enhancing screening and treatment efforts.
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Keywords: child contact management; isoniazid preventive therapy; pediatric TB

Document Type: Research Article

Affiliations: 1: Department of Family Medicine and Community Health, The University of Massachusetts Medical School, Worcester, Massachusetts, USA, Department of Family Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA, Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya 2: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya, International Union Against Tuberculosis and Lung Disease, Paris, France 3: Department of Hematology, School of Medicine, College of Health Sciences, Moi University, Eldoret, Kenya 4: Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts, USA 5: Department of Family Medicine, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island, USA, Department of Epidemiology, School of Public Health, Brown University, Rhode Island, USA 6: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya, Department of Medicine, Warren Alpert Medical School, Brown University, Rhode Island, USA

Publication date: 21 June 2018

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  • Public Health Action (PHA), The Union's quarterly Open Access journal, welcomes the submission of articles on operational research. It publishes high-quality scientific research on health services, providing new knowledge on how to improve access, equity, quality and efficiency of health systems and services.

    The Editors will consider any manuscript reporting original research on quality improvements, cost-benefit analysis, legislation, training and capacity building, with a focus on all relevant areas of public health (e.g. infection control, nutrition, TB, HIV, vaccines, smoking, COVID-19, microbial resistance, outbreaks etc).

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