Community-based approaches to improve tuberculosis services: observations from preintervention and postintervention
Jyothi Bhat1,2, Ravendra Kumar Sharma3, Rajiv Yadav4
1ICMR-National Institute of Research in Tribal Health, Jabalpur, Madhya Pradesh, India bhatdr@gmail.com.
Abstract:
An alarmingly high prevalence of tuberculosis (TB) was reported among the Saharia tribe in Madhya Pradesh, India. A community-based intervention study was undertaken to improve TB case finding during 2018-2021. The interventions mainly comprised active case detection through village TB volunteers using advocacy, communication and social mobilisation activities. A preintervention and postintervention survey design was adopted to assess the impact of intervention. The prevalence declined from 1357 (95% CI 1206 to 1527) to 752 (95% CI 646 to 875) per 100 000 population (p<0.001). The study findings highlight the importance of innovative community-based approaches in controlling TB in high burden areas.
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