Implementation of an active, clinic-based child tuberculosis contact management strategy in western Kenya
Department of Family Medicine and Community Health
Bacterial Infections and Mycoses | Community Health and Preventive Medicine | Health Services Administration | International Public Health | Pediatrics | Therapeutics
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.
child contact management, isoniazid preventive therapy, pediatric TB
DOI of Published Version
Public Health Action. 2018 Jun 21;8(2):91-94. doi: 10.5588/pha.17.0119. Link to article on publisher's site
Public health action
Szkwarko, Daria; Owiti, P.; Buziba, N.; Bigelow, C.; Eaton, C. B.; and Carter, E. J., "Implementation of an active, clinic-based child tuberculosis contact management strategy in western Kenya" (2018). Open Access Articles. 3504.