Public health action · 2026
Tuberculosis preventive therapy in Sierra Leone: early implementation gaps and lessons learned.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Farma-Grant L, Kanu J S, Molleh B, Kamara I F, Kamara A R Y, Sesay N, Lahai W K, Fofanah B, Falama M-A, Offe Amponsah O K, Mahmoud M, Grant D S, Siatty Y, Zachariah R, Koroma J, Mustapha M, Sesay T, Kenneh S
Аннотация
BACKGROUND: In 2023, Sierra Leone started tuberculosis preventive therapy (TPT) implementation. The tuberculosis programme recommends four contacts per index case for tracing and screening.
METHODS: This study was to assess the performance of early implementation of contact tracing, screening, and TPT uptake in five regional hospitals.
RESULTS: Of 905 index cases recorded, 1,222 contacts were traced and screened by community health workers. Of these, 433 were enrolled into TPT, and 353 (82%) completed the TPT regimen. Eighty out of 353 (18%) on TPT were lost to follow-up.
CONCLUSION: Deficiencies in documenting contacts and logistical constraints to trace, screen, and follow up for enrolment and completion of TPT need to be addressed for TPT scale-up.
METHODS: This study was to assess the performance of early implementation of contact tracing, screening, and TPT uptake in five regional hospitals.
RESULTS: Of 905 index cases recorded, 1,222 contacts were traced and screened by community health workers. Of these, 433 were enrolled into TPT, and 353 (82%) completed the TPT regimen. Eighty out of 353 (18%) on TPT were lost to follow-up.
CONCLUSION: Deficiencies in documenting contacts and logistical constraints to trace, screen, and follow up for enrolment and completion of TPT need to be addressed for TPT scale-up.