PMID: 16501728Feb 28, 2006Paper

Tuberculosis case-finding through a village outreach programme in a rural setting in southern Ethiopia: community randomized trial

Bulletin of the World Health Organization
Estifanos Biru ShargieBernt Lindtjørn

Abstract

To ascertain whether case-finding through community outreach in a rural setting has an effect on case-notification rate, symptom duration, and treatment outcome of smear-positive tuberculosis (TB). We randomly allocated 32 rural communities to intervention or control groups. In intervention communities, health workers from seven health centres held monthly diagnostic outreach clinics at which they obtained sputum samples for sputum microscopy from symptomatic TB suspects. In addition, trained community promoters distributed leaflets and discussed symptoms of TB during house visits and at popular gatherings. Symptomatic individuals were encouraged to visit the outreach team or a nearby health facility. In control communities, cases were detected through passive case-finding among symptomatic suspects reporting to health facilities. Smear-positive TB patients from the intervention and control communities diagnosed during the study period were prospectively enrolled. In the 1-year study period, 159 and 221 cases of smear-positive TB were detected in the intervention and control groups, respectively. Case-notification rates in all age groups were 124.6/10(5) and 98.1/10(5) person-years, respectively (P = 0.12). The corresponding ra...Continue Reading

Citations

Nov 28, 2008·BMC Public Health·Yodi MahendradhataAdi Utarini
Jan 8, 2014·Tropical Medicine & International Health : TM & IH·Solomon A YimerGunnar A Bjune
Aug 2, 2016·Health Policy and Planning·Rebecca FirestoneDana Sievers
Dec 10, 2016·International Journal of Mycobacteriology·Jennifer HoBen J Marais
Dec 19, 2016·International Journal of Public Health·Gisela CardosoWuleta Lemma
Jun 10, 2009·BMC Infectious Diseases·Riris A AhmadSake J de Vlas
Sep 9, 2011·The Cochrane Database of Systematic Reviews·Gregory J FoxGuy B Marks
Nov 29, 2017·The Cochrane Database of Systematic Reviews·Francis A MhimbiraDavid Sinclair
Mar 26, 2021·The Lancet. Public Health·Rachael M BurkePeter MacPherson

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