Way out towards active case finding in Key affected populations (KAP ) Area

Category 2: Public Health Practice


E2. Key affected populations: Behavioural, social, and cultural issues and contexts

Title: Way out towards active case finding in Key affected populations (KAP ) Area

Author: Deepak T; Sr. Nirmala Mulackal2;Selma R3 ; Fr.Mathew Perumpil.4

Institutions- CBCI-CARD

Background challenges to implementation:  Case finding and treatment of TB disease are the principal means to cut off the chain of transmission and reduce incidence. The most important is to select right area of intervention. Correct identification of Key Affected population is one of the major challenges to implementation.

 Intervention or response: In Axshya Project to identify the presumptive TB patients our first intervention step is mapping of KAP area i.e, Key Affected Population which is categorized in 8 categories and one in General category. Through Various activities such as Axshya SAMVAD (Sensitization and Awareness in Marginalized and Vulnerable Areas of the District), Active community surveillance unit, Health camp and Fast tracking intervention in District hospital work towards active TB case finding. This intervention is being done in 28 districts of 4 states where CBCI-CARD is present. We are identifying PTBP and TB cases  through Axshya project activity in different KAP Area. From the data given below and the percentage of positivity prevalent from each of the Four activity it is clear that testing the close contacts of the TB patients from hard to reach areas there are chances of getting maximum number of positive cases.

Results and lessons learnt: From January 2018 to December 2018, from  different KAP  about  42,860 PTBPs tested   5,531 cases were identified. Out of which 37.24% cases, 35.13%, 7.74% and 5.66 %TB diagnosed through Contacts, DH, Tribal and Hard to Reach KAP respectively. Other KAP 4 KAP having less than 5% TB diagnosed also General KAP having 8.82% TB diagnosed. 

Conclusions: Among all 8 Key affected population area, ‘Contacts’ are  most vulnerable area to identify the TB patients in Rural . Also the fast tracking activity in the District hospital is a  very effective intervention to find and diagnose the TB cases.

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