ArticlePublic health action2025
Role of triage audit in an ongoing differentiated TB care initiative to reduce deaths in Tamil Nadu, India.
Article in Public health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Sustained reduction in program-reported TB death rate in six districts following Tamil NaduGlobal health action · 2026Article
- Mentorship for research on TB in India: a course on Public Health Implementation Strengthening and Operational Research (MPHISOR).Public health action · 2026Article
- Quality improvement package for severe tuberculosis triage in Tamil Nadu, India.Public health action · 2026Article
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15 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveIn the ongoing India's first state-wide differentiated TB care programme in Tamil Nadu (TN-KET), adults diagnosed with drug-sensitive TB at public facilities undergo triage. The adults with severe undernutrition, respiratory insufficiency, or poor performance status are prioritised for comprehensive assessment and inpatient care. Although the programme met triage coverage targets, 11 districts failed to achieve the goal of a 30% reduction in TB death rates. This study compares aggregate triage coverage with actual coverage and evaluates the quality of programme-reported triaging data against an investigator-led audit (repeat assessments in the field) within a few weeks of diagnosis.
designAn ecological study using routine programme data (April 2022-June 2024) was conducted for the first objective, and a cross-sectional analytical study with primary and secondary data (August 2024-February 2025) was performed for the triage audit.
resultsAmong 48,905 adults with drug-sensitive TB notified, the true triage coverage was 84% against the reported triage coverage of 113%. The triage audit showed 35.7% were triage-positive, compared with 27.6% through TB SeWA (Severe TB Web Application). The mean weight and body mass index from the audit were 0.82 kg and 0.63 kg/m
conclusionThe districts need to address inadequate triage coverage and suboptimal quality of triaging.
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