Journal article

Decentralisation of child tuberculosis services increases case finding and uptake of preventive therapy in Uganda

S Zawedde-Muyanja, A Nakanwagi, IP Dongo, MP Sekadde, R Nyinoburyo, G Ssentongo, AK Detjen, F Mugabe, J Nakawesi, Y Karamagi, P Amuge, A Kekitiinwa, SM Graham

INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE | INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) | Published : 2018

Abstract

BACKGROUND: A lack of capacity to diagnose tuberculosis (TB) in children at peripheral health facilities and limited contact screening and management contribute to low case finding in TB-endemic settings. OBJECTIVE: To evaluate the implementation of a pilot project that strengthened diagnosis, treatment and prevention of child TB at peripheral health facilities in Uganda. METHODS: In June 2015, health care workers at peripheral health facilities were trained to diagnose and treat child TB. Community health care workers were trained to screen household TB contacts. Before-and-after analysis as well as comparisons with non-intervention districts were used to evaluate impact on caseload and tre..

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Grants

Awarded by Fogarty International Center, National Institutes for Health, Bethesda, MD, USA


Awarded by FOGARTY INTERNATIONAL CENTER


Funding Acknowledgements

The DETECT Child TB Project is a collaborative project led by The Union Uganda (Kampala), in partnership with Baylor Uganda (Kampala), Mildmay Uganda (Kampala) and the National TB and Leprosy Program (NTLP) of the Ministry of Health (Kampala, Uganda) of the Government of Uganda. The project received funding from ELMA Foundation, New York, NY, USA, and an anonymous donor through The Union's North America Office. Salary support for research to SZM was provided by Fogarty International Center, National Institutes for Health, Bethesda, MD, USA (grant #D43TW009771: HIV co-infections in Uganda: TB, Cryptococcus, and Viral Hepatitis).