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A structured community engagement strategy to support uptake of TB active case-finding
Public Health Action
|March 23, 2022
Summary
The Popular Opinion Leader (POL) strategy effectively increased uptake of the mobile tuberculosis (TB) screening program (TB Móvil) in high-prevalence districts. This community engagement approach is recommended for enhancing TB screening efforts.
Area of Science:
- Public Health
- Epidemiology
- Community Health Interventions
Background:
- A mobile tuberculosis (TB) screening program, TB Móvil, was launched in high-prevalence districts in Lima, Peru.
- Simultaneous community engagement activities aimed to boost participation in TB Móvil.
Purpose of the Study:
- To detail a structured, theory-driven community engagement strategy designed to enhance the adoption of TB Móvil.
- To evaluate the effectiveness of the Popular Opinion Leader (POL) intervention in promoting TB screening.
Main Methods:
- Adapted the Popular Opinion Leader (POL) social networking intervention, previously used for HIV testing promotion in Peru.
- Engaged community health workers, soup kitchen operators, and taxi drivers as "popular opinion leaders" to disseminate TB Móvil information.
- Utilized a multimedia campaign alongside everyday conversations to promote the screening program.
Main Results:
- Between February 2019 and January 2020, 63,899 individuals accessed TB Móvil across 210 sites, with 60.1% being female.
- A comprehensive multimedia campaign featured videos, audio, flyers, posters, murals, and jingles.
- Of those with abnormal chest X-rays suggestive of TB, 48% reported prior awareness of TB Móvil through the campaign.
Conclusions:
- The Popular Opinion Leader (POL) strategy significantly promoted the uptake of the TB Móvil program.
- This community engagement model is a viable strategy for increasing tuberculosis screening rates.
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