Implementation of an Effective Decentralised Programme for Detection, Treatment and Prevention of Tuberculosis in Children
Childhood tuberculosis (TB) is consistently under-detected in most high-burden countries, including Uganda, especially in young children at high risk for severe disease and mortality. TB preventive treatment (TPT) for high-risk child contacts is also poorly implemented. The centralised concentration of services for child TB at the referral level is a major challenge in the prevention, detection and treatment of TB in children. In 2015, the DETECT Child TB Project was implemented in two districts of Uganda and involved decentralisation of healthcare services for child TB from tertiary to primary healthcare facilities, along with establishing linkages to support community-based household contact screening and management. The intervention resulted in improved case finding of child and adult TB cases, improved treatment outcomes for child TB and high uptake and completion of TPT for eligible child contacts. A detailed description of the development and implementation of this project is provided, along with findings from an external evaluation. The ongoing mentorship and practical support for health workers to deliver optimal services in this context were critical to complement the use of training and training tools. A summary of the project's outcomes is provided along with the key challenges identified and the lessons learnt.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:6 |
|---|---|
| Enthalten in: |
Tropical medicine and infectious disease - 6(2021), 3 vom: 14. Juli |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Dongo, John Paul [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Case detection |
|---|
| Anmerkungen: |
Date Revised 24.07.2021 published: Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.3390/tropicalmed6030131 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM32832471X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM32832471X | ||
| 003 | DE-627 | ||
| 005 | 20231225202713.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3390/tropicalmed6030131 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1094.xml |
| 035 | |a (DE-627)NLM32832471X | ||
| 035 | |a (NLM)34287383 | ||
| 035 | |a (PII)131 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Dongo, John Paul |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Implementation of an Effective Decentralised Programme for Detection, Treatment and Prevention of Tuberculosis in Children |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 24.07.2021 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Childhood tuberculosis (TB) is consistently under-detected in most high-burden countries, including Uganda, especially in young children at high risk for severe disease and mortality. TB preventive treatment (TPT) for high-risk child contacts is also poorly implemented. The centralised concentration of services for child TB at the referral level is a major challenge in the prevention, detection and treatment of TB in children. In 2015, the DETECT Child TB Project was implemented in two districts of Uganda and involved decentralisation of healthcare services for child TB from tertiary to primary healthcare facilities, along with establishing linkages to support community-based household contact screening and management. The intervention resulted in improved case finding of child and adult TB cases, improved treatment outcomes for child TB and high uptake and completion of TPT for eligible child contacts. A detailed description of the development and implementation of this project is provided, along with findings from an external evaluation. The ongoing mentorship and practical support for health workers to deliver optimal services in this context were critical to complement the use of training and training tools. A summary of the project's outcomes is provided along with the key challenges identified and the lessons learnt | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a case detection | |
| 650 | 4 | |a child | |
| 650 | 4 | |a contact management | |
| 650 | 4 | |a implementation | |
| 650 | 4 | |a tuberculosis | |
| 700 | 1 | |a Graham, Stephen M |e verfasserin |4 aut | |
| 700 | 1 | |a Nsonga, Joseph |e verfasserin |4 aut | |
| 700 | 1 | |a Wabwire-Mangen, Fred |e verfasserin |4 aut | |
| 700 | 1 | |a Maleche-Obimbo, Elizabeth |e verfasserin |4 aut | |
| 700 | 1 | |a Mupere, Ezekiel |e verfasserin |4 aut | |
| 700 | 1 | |a Nyinoburyo, Rodrigo |e verfasserin |4 aut | |
| 700 | 1 | |a Nakawesi, Jane |e verfasserin |4 aut | |
| 700 | 1 | |a Sentongo, Gerald |e verfasserin |4 aut | |
| 700 | 1 | |a Amuge, Pauline |e verfasserin |4 aut | |
| 700 | 1 | |a Detjen, Anne |e verfasserin |4 aut | |
| 700 | 1 | |a Mugabe, Frank |e verfasserin |4 aut | |
| 700 | 1 | |a Turyahabwe, Stavia |e verfasserin |4 aut | |
| 700 | 1 | |a Sekadde, Moorine P |e verfasserin |4 aut | |
| 700 | 1 | |a Zawedde-Muyanja, Stella |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Tropical medicine and infectious disease |d 2016 |g 6(2021), 3 vom: 14. Juli |w (DE-627)NLM275181960 |x 2414-6366 |7 nnns |
| 773 | 1 | 8 | |g volume:6 |g year:2021 |g number:3 |g day:14 |g month:07 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3390/tropicalmed6030131 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 6 |j 2021 |e 3 |b 14 |c 07 | ||