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Community Empowerment through Cadres in the Tuberculosis Program: A Scoping Review
Agung Setiyadi1,2, Uki Noviana1, Eti Nurwening Sholikhah1
1Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Iranian Journal of Public Health
|August 8, 2025
Summary
Empowering community health cadres significantly improves tuberculosis (TB) control by enhancing case detection and treatment adherence. Addressing challenges like training and resources is crucial for maximizing their impact in global public health efforts.
Area of Science:
- Public Health
- Global Health
- Community Health
Background:
- Tuberculosis (TB) presents a significant global health challenge, particularly in low- and middle-income countries.
- Community-based strategies, including the empowerment of health cadres, are vital for successful TB control programs.
Purpose of the Study:
- To systematically review and identify research on the contributions of health cadres in tuberculosis control programs worldwide.
Main Methods:
- A scoping review was conducted using five major electronic databases (PubMed, Scopus, Medline-Ebscohost, ProQuest, Cochrane).
- Article selection adhered to Population, Concept, Context (PCC) criteria, limited to English-language articles published between 2014 and 2024.
Main Results:
- Twenty articles were selected from an initial 793, indicating that empowered cadres effectively detect TB cases, improve treatment adherence, and reduce stigma through culturally sensitive education.
- Key challenges identified include inadequate training, lack of incentives, and limited access to diagnostic tools, which impede cadre performance.
Conclusions:
- Health cadres are essential in connecting communities with formal healthcare services.
- Structured training, adequate resources, and community empowerment are necessary to optimize the role of cadres in TB control.
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