ArticleInfectious diseases of poverty2017
Active case-finding for tuberculosis by mobile teams in Myanmar: yield and treatment outcomes.
Article in Infectious diseases of poverty, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 33 citations in OpenAlex.
- High non-compliance rate with anti-tuberculosis treatment: a need to shift facility-based directly observed therapy short course (DOTS) to community mobile outreach team supervision in Saudi Arabia.BMC public health · 2019Trial
- Active TB case finding in returnee coalminers and their home district communities in Pakistan.Public health action · 2025Article
- A mixed-methods study on impact of active case finding on pulmonary tuberculosis treatment outcomes in India.Archives of public health = Archives belges de sante publique · 2024Article
- Epidemiological characteristics and risk factors of multidrug-resistant tuberculosis in Luoyang, China.Frontiers in public health · 2023Article
- Portable digital X-ray for TB pre-diagnosis screening in rural communities in Nigeria.Public health action · 2022Article
- Age and sex distribution of Mycobacterium tuberculosis infection and rifampicin resistance in Myanmar as detected by Xpert MTB/RIF.BMC infectious diseases · 2021Article
- Treatment outcomes among tuberculosis patients in Jeddah, Saudi Arabia: Results of a community mobile outreach directly observed Treatment, Short-course (DOTS) project, compared to a standard facility-based DOTS: A randomized controlled trial.Journal of clinical tuberculosis and other mycobacterial diseases · 2021Article
- Framework for planning and monitoring active TB case finding interventions to meet the global targets in the COVID-19 era and beyond: South-East Asia perspective.PLOS global public health · 2021Review
- Article
- Case finding strategies under National Tuberculosis Elimination Programme (NTEP).The Indian journal of tuberculosis · 2020Review
- Islands of Tuberculosis Elimination: An Evaluation of Community-Based Active Case Finding in North Sumatra, Indonesia.Tropical medicine and infectious disease · 2020Article
- Prediagnostic loss to follow-up in an active case finding tuberculosis programme: a mixed-methods study from rural Bihar, India.BMJ open · 2020Article
- Active TB case finding in a high burden setting; comparison of community and facility-based strategies in Lusaka, Zambia.PloS one · 2020Article
- Implementing active surveillance for TB-The views of managers in a resource limited setting, South Africa.PloS one · 2020Article
- Active Case Finding for Tuberculosis through TOUCH Agents in Selected High TB Burden Wards of Kolkata, India: A Mixed Methods Study on Outcomes and Implementation Challenges.Tropical medicine and infectious disease · 2019Article
- Predictors of recurrent TB in sputum smear and culture positive adults: a prospective cohort study.African health sciences · 2019Article
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Authors and funding
10 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundSince 2005, the Myanmar National Tuberculosis Programme (NTP) has been implementing active case finding (ACF) activities involving mobile teams in hard-to-reach areas. This study revealed the contribution of mobile team activities to total tuberculosis (TB) case detection, characteristics of TB patients detected by mobile teams and their treatment outcomes.
methodsThis was a descriptive study using routine programme data between October 2014 and December 2014. Mobile team activities were a one-stop service and included portable digital chest radiography (CXR) and microscopy of two sputum samples. The algorithm of the case detection included screening patients by symptoms, then by CXR followed by sputum microscopy for confirmation. Diagnosed patients were started on treatment and followed until a final outcome was ascertained.
resultsA total of 9 349 people with symptoms suggestive of TB were screened by CXR, with an uptake of 96.6%. Of those who were meant to undergo sputum smear microscopy, 51.4% had sputum examinations. Finally, 504 TB patients were identified by the mobile teams and the overall contribution to total TB case detection in the respective townships was 25.3%. Among total cases examined by microscopy, 6.4% were sputum smear positive TB. Treatment success rate was high as 91.8% in study townships compared to national rate 85% (2014 cohort).
conclusionsThis study confirmed the feasibility and acceptability of ACF by mobile teams in hard-to-reach contexts, especially when equipped with portable, digital CXR machines that provided immediate results. However, the follow-up process of sputum examination created a significant barrier to confirmation of the diagnosis. In order to optimize the ACF through mobile team activity, future ACF activities were needed to be strengthened one stop service including molecular diagnostics or provision of sputum cups to all presumptive TB cases prior to CXR and testing if CXR suggestive of TB.
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