Journal article

Implementation of an Effective Decentralised Programme for Detection, Treatment and Prevention of Tuberculosis in Children

John Paul Dongo, Stephen M Graham, Joseph Nsonga, Fred Wabwire-Mangen, Elizabeth Maleche-Obimbo, Ezekiel Mupere, Rodrigo Nyinoburyo, Jane Nakawesi, Gerald Sentongo, Pauline Amuge, Anne Detjen, Frank Mugabe, Stavia Turyahabwe, Moorine P Sekadde, Stella Zawedde-Muyanja

TROPICAL MEDICINE AND INFECTIOUS DISEASE | MDPI | Published : 2021

Abstract

Childhood tuberculosis (TB) is consistently under-detected in most high-burden countries, including Uganda, especially in young children at high risk for severe disease and mortality. TB preventive treatment (TPT) for high-risk child contacts is also poorly implemented. The centralised concentration of services for child TB at the referral level is a major challenge in the prevention, detection and treatment of TB in children. In 2015, the DETECT Child TB Project was implemented in two districts of Uganda and involved decentralisation of healthcare services for child TB from tertiary to primary healthcare facilities, along with establishing linkages to support community-based household conta..

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Grants

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


Funding Acknowledgements

The DETECT project received funding from ELMA Foundation, New York, USA, and from an anonymous donor through The Union's North America Office. Salary support for research to S.Z.-M. was provided by Fogarty International Centre, National Institutes for Health, Bethesda, MD, USA (grant #D43TW009771).