Evidence map›Paper›PMID 40718303›Full record

ArticleCureus2025

Active Case Finding (ACF) of Tuberculosis Among School Students: Insights From a Tribal District in Seoni, Madhya Pradesh, India.

Yogesh Sharma, Manohar Bhatia, Vikas Dwivedi, Bikramjeet Mitra, Vikas Sabharwal, Varsha Rai

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yogesh SharmaCommunity Medicine, World Health Organization Regional Office, Bhopal, IND.
Manohar BhatiaCommunity Medicine, Gajra Raja Medical College (GRMC), Gwalior, IND.
Vikas DwivediCommunity Medicine, Chhindwara Institute of Medical Sciences, Chhindwara, IND.
Bikramjeet MitraCommunity Medicine, Government Medical College, Datia, Datia, IND.
Vikas SabharwalPreventive Medicine, World Health Organization, Gwalior, IND.
Varsha RaiTuberculosis, State TB Office, Bhopal, IND.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundTuberculosis (TB) remains a major public health concern in India, particularly among tribal populations who face structural and socioeconomic barriers to healthcare access. Despite ongoing efforts by the National Tuberculosis Elimination Program (NTEP), many tribal districts report persistently high TB burdens. Active case finding (ACF) has demonstrated effectiveness in improving early TB detection and reducing transmission.

objectiveThis study aims to assess the effectiveness of a school-based ACF initiative in identifying symptomatic individuals and potential TB cases within the tribal communities of Seoni district, Madhya Pradesh. MATERIALS AND

methodsA cross-sectional record review was conducted from March to April 2024 across nine educational institutions in Seoni district. School students, oriented by NTEP staff, screened their family members using a 12-question format that addresses TB symptoms and risk factors. Data from 2,210 individuals were compiled and analyzed using Jamovi version 2.3.28 (Computer Software; retrieved from https://www.jamovi.org).

resultsThirty percent with appetite loss and 26% with >5 kg weight loss underwent TB testing, with these symptoms showing strong associations with testing (p < 0.001). Only four individuals were diagnosed with TB. History of TB in the past one to two years and generalized weakness were significant predictors of diagnosis. Logistic regression revealed age, symptom count, and TB history as significant predictors of testing and diagnosis.

conclusionSchool-based ACF is a feasible and promising strategy for TB detection in tribal areas. While the diagnostic yield was low, the model showed potential for broader implementation and community mobilization. Further studies are warranted to evaluate the long-term impact and optimize the implementation.

Indexed as

active case findingcommunity-based interventionhealth promotionschool-based screeningtribal health

Identifiers

PMID40718303
PMCPMC12290735

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.