Batool Ghavami, Zahra Sohrabi, Ziba RaisiDehkordi, Fatemeh Mohammadi
Relationship between reproductive health literacy and components of healthy fertility in women of the reproductive age
Journal of education and health promotion
childhood tuberculosis tb remains underdiagnosed largely limited awareness poor access specimen collection molecular testing clinical evaluation chest radiography low levels care decentralising childhood tb diagnostics district hospitals dh primary health centres phc could improve case detection conducted operational research study using prepost intervention crosssectional study design 12 dhs 47 phcs 12 districts across cambodia cameroon cte divoire mozambique sierra leone uganda intervention included 1 comprehensive diagnosis package patientlevel tuberculosis screening sick children young adolescents 15 years clinical evaluation xpert ultratesting respiratory stool samples chest radiography children presumptive tb 2 two decentralisation approaches phcfocused dhfocused districts randomly allocated country level collected aggregated individual data compared proportion tuberculosis detection children young adolescents 15 years preintervention 01 august 201830 november 2019 versus intervention 07 march 202030 september 2021 overall decentralisation approach study registered clinicaltrialsgov nct04038632 tb diagnosed 217255512 008 children young adolescent 15 years attending care preintervention versus 411179581 023 intervention 359 95 ci 199646 pvalue00001 pvalue 0055 correcting overdispersion dhfocused districts tb diagnosis 80122570 007 versus 30286186 035 407 186890 pvalue 00005 pvalue 012 correcting overdispersion 137132942 010 versus 10993395 011 phcfocused districts respectively 292 125681 pvalue 0013 pvalue 026 correcting overdispersion decentralising strengthening childhood tb diagnosis lower levels care increases tuberculosis case detection difference statistically significant unitaid grant number 201715ubxtbspeed