• Users Online: 35
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2017  |  Volume : 6  |  Issue : 3  |  Page : 246-252

An evaluation of innovative community-based approaches and systematic tuberculosis screening to improve tuberculosis case detection in Ebonyi State, Nigeria


1 German Leprosy and TB Relief Association, 35 Hill View, Enugu, Nigeria; Department of Community Health and Psychiatry, Faculty of Medical Sciences, The University of the West Indies, Mona Campus, Jamaica
2 Department of Educational Foundation (G&C), University of Nigeria, Enugu State, Nigeria
3 Centre for Leadership and Theology Development, College for Leadership and Theology Development, Faculty of Social and Behavioural Sciences, International University of the Caribbean, Kingston 5, Jamaica
4 Ebonyi State TB and Leprosy Control Programme, Abakaliki, Ebonyi State, 7Department of Community Medicine, Nnamdi Azikiwe University, Awka, Nigeria
5 Department of Social Work, University of Nigeria, Nsukka, Enugu State, Nigeria
6 Department of Community Health and Psychiatry, Faculty of Medical Sciences, The University of the West Indies, Mona Campus, Jamaica
7 Department of Community Medicine, Nnamdi Azikiwe University, Awka, Nigeria
8 German Leprosy and TB Relief Association, 35 Hill View, Enugu, Nigeria
9 Department of Internal Medicine, Federal University Teaching Hospital, Abakaliki, Nigeria

Correspondence Address:
Daniel C Oshi
Department of Community Medicine and Psychiatry, Faculty of Medical Sciences, The University of the West Indies, Mona Campus, Kingston, Jamaica

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmy.ijmy_91_17

Get Permissions

Background: National tuberculosis (TB) programmes globally rely heavily on passive case finding for detecting TB in the community as advocated by the World Health Organization (WHO). TB case detection is low in Nigeria despite improvement in TB services and coverage. Methods: A retrospective evaluation of an active case-finding intervention utilizing community-based approaches and targeted systematic TB screening in Ebonyi State, Nigeria was done. The analysis was performed using Epi Info. Results: Using community-based and health-facility-based systematic screening strategies, 218,751 persons were screened, with 19.7% of them being presumptive TB cases. Among these, 23,729 (55.1%) submitted sputum samples for microscopy, and 764 (3.2%) had smear-positive TB. In addition, 683 individuals were diagnosed with other forms of TB using X-ray and clinical evaluation giving a total of 1447 all forms of TB cases. The overall number needed to screen (NNS) to find one person with all forms of TB through the project was 151. The NNS was 53 for general outpatients, 88 through contact tracing, and 110 among HIV-infected persons. Conclusions: Active case-finding strategies achieved good yields though early loss to follow-up was high. Active case finding is recommended for integration into national TB control policy and practice.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed543    
    Printed5    
    Emailed0    
    PDF Downloaded99    
    Comments [Add]    

Recommend this journal