ArticlePloS one2020
Using community health workers for facility and community based TB case finding: An evaluation in central Mozambique.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effectiveness of Contact Tracing to Reduce Transmission of Infectious Diseases During Epidemic or Pandemic Response: Rapid Systematic Review.JMIR public health and surveillance · 2026Pooled it
- mHealth-supported tuberculosis contact investigation by community health workers in high-burden countries: a scoping review.Global health action · 2026Article
- i-MoMCARE: AI-enabled mobile app for maternal and child health care in Cambodia - a pilot implementation and evaluation study.BMJ health & care informatics · 2026Article
- Determinants of tuberculosis presentation and successful treatment outcome among tuberculosis patients in Geita, Tanzania.PloS one · 2026Article
- Developing the i-MoMCARE application in Cambodia: an iterative co-design approach using rapid prototyping.BMJ digital health & AI · 2026Article
- Enhancing tuberculosis (TB) case detection among hospitalized patients through lay health worker led screening: a before-and-after study in KwaZulu-Natal, South Africa.Scientific reports · 2025Article
- Community tuberculosis screening, testing and care, Uganda.Bulletin of the World Health Organization · 2024Article
- Article
- Stakeholder Perceptions towards a Mobile Application for Community-Led Monitoring of Tuberculosis Services in Metro Manila, Philippines: A Qualitative Study.Acta medica Philippina · 2024Article
- Implementation of evidence-based multiple focus integrated intensified TB screening to end TB (EXIT-TB) package in East Africa: a qualitative study.BMC infectious diseases · 2023Article
- A community health worker-led program to improve access to gestational diabetes screening in urban slums of Pune, India: Results from a mixed methods study.PLOS global public health · 2023Article
- Gaps and Interventions across the Diagnostic Care Cascade of TB Patients at the Level of Patient, Community and Health System: A Qualitative Review of the Literature.Tropical medicine and infectious disease · 2022Review
- Fine-grain population structure and transmission patterns ofMicrobial genomics · 2022Article
- Understanding reasons for suboptimal tuberculosis screening in a low-resource setting: A mixed-methods study in the Kingdom of Lesotho.PLOS global public health · 2022Article
- Community health workers at the dawn of a new era: 10. Programme performance and its assessment.Health research policy and systems · 2021Review
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Authors and funding
12 authors.
Funding
Abstract
backgroundMozambique has one of the highest incidence rates of both TB and HIV in the world and an estimated tuberculosis (TB) treatment coverage of only 57% in 2018. Numerous approaches are being tested to reduce existing gaps in coverage and the estimated number of missing cases.
methodsThirty Community Healthcare Workers (CHWs) were tasked with increasing TB notifications by performing verbal facility-based TB screening of all people presenting for care and TB contact tracing in the community. Using routine National TB Program data, we analyzed trends in TB notifications in five intervention districts and seven control districts in Manica province the year before this project and during a one-year intervention period.
resultsIn the four quarters before the study, the intervention districts notified 5,219 individuals with all forms of TB, and the control districts notified 2,248 TB cases. During the study 5,982 all forms of people with TB were notified in the intervention area, an increase of 763 (14.6%) over the baseline, whereas the control districts notified 1,877 persons with TB, a decrease of -371 (-16.5%). The CHW screening activities yielded 1,502 notified and treated individuals with TB.
conclusionsEmploying CHWs to promote facility-based TB screening and household contact tracing may lead to an overall increase in TB notification.
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