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REACH

impact

An Improved Pathway for Active Contact Tracing

People in close contact with people with TB are at a high risk of contracting TB infection and active disease. The TB programme recommends systematic contact screening investigations for all people with TB to ensure early identification and detection of TB. However, the programme faces challenges in providing TB screening for contacts due to associated stigma, confidentiality issues and easy accessibility and availability of diagnostic services. 


To strengthen the household contact investigation among people with smear positive pulmonary TB enrolled with the Chennai Corporation, a two-year pilot intervention was implemented by REACH in 2016-2017 under Wave 4 of the TB REACH project, and subsequently funded by Advance Access & Delivery.


The initiative covered 36 Tuberculosis Units in Chennai including North, Central, and South Chennai districts. 

highlights

Transition of the program to the Greater Chennai Corporation

Incentive-based approach towards screening household contacts

Transition of the program to the Greater Chennai Corporation

Capturing family details on an electronic data base system

Incentive-based approach towards screening household contacts

Transition of the program to the Greater Chennai Corporation

Incentive-based approach towards screening household contacts

Incentive-based approach towards screening household contacts

Incentive-based approach towards screening household contacts

Symptom-based screening and x-ray based screening

Treatment initiation of contacts diagnosed with TB from the public health system

Incentive-based approach towards screening household contacts

Use of Gene Xpert (CB-NAAT) technology for confirmatory diagnosis

Treatment initiation of contacts diagnosed with TB from the public health system

Treatment initiation of contacts diagnosed with TB from the public health system

Treatment initiation of contacts diagnosed with TB from the public health system

Treatment initiation of contacts diagnosed with TB from the public health system

Treatment initiation of contacts diagnosed with TB from the public health system

PROJECT objectives

To implement household contact screening through a public private partnership model (PPPM) by adopting an innovative diagnostic algorithm

innovative process

key results

o REACH facilitated the transition of the contact screening initiative to the Corporation of Chennai

o REACH facilitated partnership of Greater Chennai Corporation with the network of private X-rays

o The RNTCP health staff were sensitised on the contact screening process

o The outcome of the initiative was disseminated to different stakeholders and TB health staffs and

o REACH facilitated access to quality assured ATT drugs to people with TB in the private sector





REACH or the Resource group for Education and Advocacy for Community Health is a non-profit organisation based in India and working on Tuberculosis for over two decades.


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