Title

Implementation of an active, clinic-based child tuberculosis contact management strategy in western Kenya

UMMS Affiliation

Department of Family Medicine and Community Health

Publication Date

2018-06-21

Document Type

Article

Disciplines

Bacterial Infections and Mycoses | Community Health and Preventive Medicine | Health Services Administration | International Public Health | Pediatrics | Therapeutics

Abstract

Tuberculosis (TB) is a leading cause of childhood mortality. Isoniazid preventive therapy significantly reduces progression to TB disease. The World Health Organization recommends that high TB burden countries conduct child contact management (CCM) to identify exposed child contacts aged < 5 years for screening and appropriate treatment. An active, clinic-based CCM strategy incorporating transport/screening reimbursement, monitoring and evaluation tools, and health care worker education was implemented in western Kenya. Among 169 identified child contacts aged < 5 years, 146 (86%) underwent successful screening, of whom 43 (29%) were diagnosed with active TB. We describe our CCM strategy and its potential for enhancing screening and treatment efforts.

Keywords

child contact management, isoniazid preventive therapy, pediatric TB

DOI of Published Version

10.5588/pha.17.0119

Source

Public Health Action. 2018 Jun 21;8(2):91-94. doi: 10.5588/pha.17.0119. Link to article on publisher's site

Journal/Book/Conference Title

Public health action

Related Resources

Link to Article in PubMed

PubMed ID

29946526

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