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Open Access Feasibility of two active case finding approaches for detection of tuberculosis in Bandung City, Indonesia

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Setting: A community health clinic catchment area in the eastern part of Bandung City, Indonesia.

Objective: To evaluate the feasibility of two different screening interventions using community health workers (CHWs) in detecting tuberculosis (TB) cases.

Design: This was a feasibility study of 1) house-to-house TB symptom screening of five randomly selected ‘neighbourhoods’ in the catchment area, and 2) selected screening of household contacts of TB index patients and their neighbouring households. Acceptability was assessed through focus group discussions with key stakeholders.

Results: Of 5100 individuals screened in randomly selected neighbourhoods, 48 (0.9%) reported symptoms, of whom 38 provided sputum samples; no positive TB was found. No TB cases were found among the 88 household contacts or the 423 neighbourhood contacts. With training, regular support and supervision from research staff and local community health centre staff, CHWs were able to undertake screening effectively, and almost all householders were willing to participate.

Conclusion: The use of CHWs for TB screening could be integrated into routine practice relatively easily in Indonesia. The effectiveness of this would need further exploration, particularly with the use of improved diagnostics such as chest X-ray and sputum culture.
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Keywords: Indonesia; active case finding; tuberculosis

Document Type: Research Article

Affiliations: 1: Centre for International Health, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand 2: TB-HIV Research Centre, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia 3: Centre for Economics and Development Studies, Department of Economics, Faculty of Economics and Business, Universitas Padjadjaran, Bandung, Indonesia

Publication date: September 21, 2017

This article was made available online on August 17, 2017 as a Fast Track article with title: "Feasibility of two active case finding approaches for detection of tuberculosis in Bandung City, Indonesia".

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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