Macpherson, Liana;
Miller, Cecily;
Hamada, Yohhei;
Rangaka, Lele;
Ruhwald, Morten;
Falzon, Dennis;
Kik, Sandra;
(2025)
Policies, practices, opportunities and challenges for tuberculosis screening: a global survey of national tuberculosis programmes.
BMJ Glob Health
, 10
(7)
, Article e016000. 10.1136/bmjgh-2024-016000.
Preview |
Text
e016000.full.pdf - Published Version Download (1MB) | Preview |
Abstract
INTRODUCTION: There are limited published data on how countries carry out screening for tuberculosis (TB) disease and what the perceived challenges are for implementing screening from a country perspective. Understanding these factors are important to enable better planning and support for the roll-out of appropriate screening interventions. METHODS: We conducted a cross-sectional survey of national TB programmes from countries reporting >1000 TB cases annually. RESULTS: Sixty of 123 countries responded, representing 82% of the global TB burden. Only 35% of countries had a policy to screen for TB in all four key risk groups identified by WHO, 66% carried out all six WHO-recommended steps to implement screening and 39% collected all seven of the WHO-recommended data points for monitoring activity. Although 68% of countries planned to increase CXR-based screening, 90% reported at least one significant barrier to implementing this, and 20% were not aware of computer-aided detection (CAD) software technology. CONCLUSION: Although chest X-ray and CAD use are expanding and hold promise as tools to find people with TB, many programmes do not have adequate access to them. While global policy is in place that recommends the use of these tools, efforts should be made to support countries tackling these barriers.
| Type: | Article |
|---|---|
| Title: | Policies, practices, opportunities and challenges for tuberculosis screening: a global survey of national tuberculosis programmes |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/bmjgh-2024-016000 |
| Publisher version: | https://doi.org/10.1136/bmjgh-2024-016000 |
| Language: | English |
| Additional information: | Open access This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (CC BY 3.0 IGO), which permits use, distribution,and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
| Keywords: | Global Health, Health policy, Infections, diseases, disorders, injuries, Screening, Tuberculosis, Humans, Cross-Sectional Studies, Mass Screening, Global Health, Health Policy, Tuberculosis |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10211701 |
Archive Staff Only
| View Item |