Experience of active tuberculosis case finding in nearly 5 million households in India

B. M. Prasad, Srinath Satyanarayana, Sarabjit Chadha, Anisha Das, B Thapa, Subrat Kumar Mohanty, Sripriya Pandurangan, E. R. Babu, J. Tonsing, K.S. Sachdeva

Public Health Action · 2016 · 42 citations · 4 references

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Abstract

In India, to increase tuberculosis (TB) case detection under the National Tuberculosis Programme, active case finding (ACF) was implemented by the Global Fund-supported Project Axshya, among high-risk groups in 300 districts. Between April 2013 and December 2014, 4.9 million households covering ~20 million people were visited. Of 350 047 presumptive pulmonary TB cases (cough of ⩾2 weeks) identified, 187 586 (54%) underwent sputum smear examination and 14 447 (8%) were found to be smear-positive. ACF resulted in the detection of a large number of persons with presumptive pulmonary TB and smear-positive TB. Ensuring sputum examination of all those with presumptive TB was a major challenge.

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