Mohammed A. Yassin|Daniel Gemechu Datiko|Olivia Tulloch|Paulos Markos|Melkamsew Aschalew|Estifanos Biru Shargie|Mesay Hailu Dangisso|Ryuichi Komatsu|Sandeep Sahu|Lucie Blok|Luís E. Cuevas|Sally Theobald
Innovative Community-Based Approaches Doubled Tuberculosis Case Notification and Improve Treatment Outcome in Southern Ethiopia
Global Fund to Fight AIDS, Tuberculosis and Malaria|Liverpool School of Tropical Medicine|REACH ETHIOPIA|Liverpool School of Tropical Medicine|Liverpool School of Tropical Medicine|REACH ETHIOPIA|Global Fund to Fight AIDS, Tuberculosis and Malaria|REACH ETHIOPIA|Global Fund to Fight AIDS, Tuberculosis and Malaria|Royal Tropical Institute|Liverpool School of Tropical Medicine|Liverpool School of Tropical Medicine
tb control programmes rely passive casefinding detect cases tb notification remains low ethiopia despite major expansion health services poor rural communities face many barriers service accessa communitybased intervention package implemented sidama zone ethiopia package included advocacy training engaging stakeholders communities active casefinding female health extension workers hews village level hews conducted housetohouse visits identified individuals cough two weeks without symptoms collected sputum prepared smears supervised treatment supervisors transported smears microscopy started treatment screened contacts initiated isoniazid preventive therapy ipt children outcomes compared preimplementation period control zone qualitative research conducted understand community provider perceptions experiences hews screened 49857 symptomatic individuals 60 women october 2010 december 2011 2262 45 smearpositive tb 53 women case notification increased 64 127100000 populationyear resulting 5090 ptb 7071 cases forms tb 8005 contacts visited 1949 symptomatic 1290 symptomatic tested 69 diagnosed tb 1080 children received ipt treatment success smearpositive tb increased 77 93 treatment default decreased 11 3 service users providers found intervention package highly acceptablecommunitybased interventions made tb diagnostic treatment services accessible poor women elderly children doubling notification rate improving treatment outcome approach could improve tb diagnosis treatment high burden settings