Community tuberculosis screening, testing and care, Uganda

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dc.contributor.authorTuryahabwe, Stavia
dc.contributor.authorBamuloba, Muzamiru
dc.contributor.authorMugenyi, Levicatus
dc.contributor.authorAmanya, Geoffrey
dc.contributor.authorByaruhanga, Raymond
dc.contributor.authorImoko, Joseph Fry
dc.contributor.authorNakawooya, Mabel
dc.contributor.authorWalusimbi, Simon
dc.contributor.authorNidoi, Jasper
dc.contributor.authorBurua, Aldomoro
dc.contributor.authorSekadde, Moorine
dc.contributor.authorMuttamba, Winters
dc.contributor.authorArinaitwe, Moses
dc.contributor.authorHenry, Luzze
dc.contributor.authorKengonzi, Rose
dc.contributor.authorMudiope, Mary
dc.contributor.authorKirenga, Bruce J
dc.date.accessioned2024-09-17T14:02:05Z
dc.date.available2024-09-17T14:02:05Z
dc.date.issued2024-06
dc.description.abstractTo assess the effectiveness of a community-based tuberculosis and leprosy intervention in which village health teams and health workers conduct door-to-door tuberculosis screening, targeted screenings and contact tracing. We conducted a before-and-after implementation study in Uganda to assess the effectiveness of the community tuberculosis intervention by looking at reach, outputs, adoption and effectiveness of the intervention. Campaign 1 was conducted in March 2022 and campaign 2 in September 2022. We calculated percentages of targets achieved and compared case notification rates during the intervention with corresponding quarters in the previous year. We also assessed the leprosy screening. Over 5 days, campaign 1 screened 1 289 213 people (2.9% of the general population), of whom 179 144 (13.9%) fulfilled the presumptive tuberculosis criteria, and 4043 (2.3%) were diagnosed with bacteriologically-confirmed tuberculosis; 3710 (91.8%) individuals were linked to care. In campaign 2, 5 134 056 people (11.6% of the general population) were screened, detecting 428 444 (8.3%) presumptive tuberculosis patients and 8121 (1.9%) bacteriologically-confirmed tuberculosis patients; 5942 individuals (87.1%) were linked to care. The case notification rate increased from 48.1 to 59.5 per 100 000 population in campaign 1, with a case notification rate ratio of 1.24 (95% confidence interval, CI: 1.22-1.26). In campaign 2, the case notification rate increased from 45.0 to 71.6 per 100 000 population, with a case notification rate ratio of 1.59 (95% CI: 1.56-1.62). Of the 176 patients identified with leprosy, 137 (77.8%) initiated treatment. This community tuberculosis screening initiative is effective. However, continuous monitoring and adaptations are needed to overcome context-specific implementation challenges. MEDLINE
dc.identifier.citationTuryahabwe, Stavia, Muzamiru Bamuloba, Levicatus Mugenyi, et al. 'Community Tuberculosis Screening, Testing and Care, Uganda', Bulletin of the World Health Organization, vol. 102/no. 6, (2024), pp. 400-409.
dc.identifier.issnISSN 0042-9686, 1564-0604
dc.identifier.issnEISSN 1564-0604
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9622
dc.language.isoen
dc.publisherWorld Health Organization
dc.titleCommunity tuberculosis screening, testing and care, Uganda
dc.typeArticle
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