19 October-1 December 2020
The 51st Union World Conference On Lung Health
REGISTER NOW

Sessions

All Sessions
keyboard_arrow_down
keyboard_arrow_down Show filters keyboard_arrow_up Hide filters
  • All Tracks
  • Community Connect
  • Channel 1
  • Channel 2
  • Channel 3
  • Channel 4
  • Channel 5
  • Channel 6
  • Channel 7
  • E-posters
  • Workshops
Channel 3
OA-10-Partnerships for integrating services
event_note
Loading...
query_builder 11:00 - 12:20 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-10-Partnerships for integrating services
*Please scroll down for more information*


11:00 - 11:05: Introduction


11:05 - 11:13: OA-10-556-22-Engaging private healthcare providers to intensify TB case detection Private healthcare providers play a key role in tuberculosis (TB) referral, diagnosis and treatment. Engaging them effectively can help to close the TB notification gap and ensure that patients receive proper TB care.

Rajesh Sah

11:13 - 11:21: OA-10-557-22-Rational medicine use when presented with TB symptoms: private sector prescribing practices in two urban regions of South Africa Are South African patients with tuberculosis (TB) and TB-HIV, who present to the private sector, diagnosed efficiently and effectively? Do they receive care that is of an acceptable cost to them and their community? We explore prescribing practices of private GPs and the potential contributors to TB diagnostic delay and antimicrobial drug resistance.

Angela Salomon

11:21 - 11:29: OA-10-558-22-Engaging informal providers to screen and refer TB presumptive cases for formal TB diagnosis: use of barcode sticker system to refer TB presumptives The Clinton Health Access Initiative (CHAI) and the national TB programme developed a systematic package of actively engaging traditional healers, pharmacies and drug stores to actively screen, refer and follow up TB presumptives for formal TB diagnosis at the facility in two districts in Malawi. It demonstrated the potential to increase TB notifications.

Godwin Nyirenda

11:29 - 11:37: OA-10-559-22-Integrating services of TB, HIV/AIDS and malaria at the community level: lessons from community systems', strengthening pilot project in Kenya Delivering  health services for each condition separately, contributes to fragmented service delivery at the community level. This abstract is about assessing the possibility of integrating services for tuberculosis, HIV/AIDS and malaria at the community level, and monitoring if there was improvement in performance of the health indicators.

Paul Maleya

11:37 - 11:45: OA-10-560-22-Adherence to TB screening and treatment initiation guidelines in urban Nigeria: a study of TB care quality among private clinical providers in two states A study of private clinical providers’ management of presumptive and confirmed TB patients in urban Nigeria - using standardised patient and vignette survey methodology - reveals a minority of providers were able to demonstrate fully correct case management. Bottlenecks to correct management include provision, or referral, for diagnostics and counselling for confirmed patients.

Lauren Rosapep

11:45 - 11:53: OA-10-561-22-Provider-initiated active TB case finding in high volume, healthcare facilities: preliminary results from an ongoing project in Nigeria KNCV Nigeria's active tuberculosis (TB) case finding project, which is funded by the United States Agency for International Development, introduced provider–initiated TB case finding in health facilities. Designated screening officers and facility staff were trained on the use of a symptom checklist for TB screening in order to identify presumptive TB, linkage for diagnostic evaluation and treatment for confirmed TB cases.

Ogoamaka Chukwuogo

11:53 - 12:01: OA-10-562-22-Significant boost needed to ensure sustainable procurement by governments of WHO-recommended TB medicines in high burden countries while shifting from donor-supported to domestically-funded procurement While countries are increasingly required to purchase tuberculosis (TB) medicines with domestic funds, access to all World Health Organization (WHO) recommended TB medicines is not secured. Local registration of at least one source meeting WHO quality standards, up-to-date nEMLs, transparent national tenders. More focused technical assistance from donors and WHO is urgently required.

Christophe Perrin

12:01 - 12:20: Q&A


Loading...
Channel 2
OA-13-The race for improved multidrug-resistant care
event_note
Loading...
query_builder 12:30 - 13:50 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-13-The race for improved multidrug-resistant care
*Please scroll down for more information*


12:30 - 12:35: Introduction


12:35 - 12:43: OA-13-577-22-Best practices in bedaquiline and delamanid use for rifampicin- resistant TB management: implementation of extension and combination use in 43 high burden countries Results from the #StepUpforTB 2020 study show 69% of countries recommend the combination use of bedaquiline and delamanid, while only 40% allow routine extension of either drug.  While policy recommendations for the newer drugs have included younger ages, adoption of best practices in bedaquiline and delamanid for adults remains slow.

Tiziana Masini

12:43 - 12:51: OA-13-578-22-The decentralised drug-resistant TB programme in South Africa: from policy to implementation A policy, supporting decentralised drug-resistant TB (DR-TB) treatment provision in South Africa, has had variable implementation. This paper examined how content, actors and processes of policy have interacted in context-specific ways to inform implementation. A better understanding of policy dynamics will contribute to lessons for strengthening future implementation of DR-TB policy.

Waasila Jassat

12:51 - 12:59: OA-13-579-22-Programmatic management of MDR/XDR-TB patients using the short treatment regimen from 2015 to 2019 in Cameroon Cameroon's programmatic management of rifampicin-resistant and multidrug-resistant tuberculosis (TB) patients, from 2015-2019, showed an 82% (505 out of 706) favourable outcome using the short treatment regimen. Out of 478 (68%) patients with documented data, moderate to severe auditory side effects (57/12%) remain the major challenge. We advocate for closer audiogram monitoring of patients receiving an injectable-base regimen.

Christelle G. Jouego

12:59 - 13:07: OA-13-580-22-Outcomes of a representative sample of patients lost to follow-up during drug-resistant TB treatment in the Philippines We identified additional mortality after tracing drug-resistant tuberculosis (TB) patients lost to follow-up from the Philippines National TB Control Programme. Strategies for retaining patients in care are critical to improving outcomes. Tracing should be considered for reporting accurate mortality data.

Alexander Rupert Lim

13:07 - 13:15: OA-13-581-22-Undiagnosed drug resistance in Mycobacterium tuberculosis is associated with higher mortality in countries with high TB burdens Accurate diagnosis is important in managing and controlling drug-resistant tuberculosis (TB) to reduce mortality. We compared results from drug resistance diagnoses clinics in countries with high TB burdens, against standardised culture-based testing and whole genome sequencing.

Martina L. Reichmuth

13:15 - 13:23: OA-13-582-22-Predominant yield of drug-sensitive TB among contacts of multidrug- resistant TB patients in Uganda: a call for next generation sequencing Contact investigation is one of the key, active tuberculosis (TB) case finding measures for early detection and treatment initiation in order to mitigate transmission and mortality due to delayed treatment. This abstract demonstrates the findings of a contact tracing cascade analysis for multidrug-resistant TB patients in a low-resource setting.

Kenneth Mutesasira

13:23 - 13:31: OA-13-583-22-Achieving high treatment success rate for drug-resistant TB following introduction of the novel, shorter treatment regimen Uganda adopted the novel, shorter multidrug-resistant TB (MDR-TB) treatment regimen following the 2016 World Health Organization MDR-TB treatment guidelines update. We share findings of a high treatment success rate among patients enrolled into the shorter regimen. 

John Paul Otuba

13:31 - 13:39: OA-13-584-22-Introducing facility-based mortality reviews into programmatic management of drug-resistant TB: lessons from Uganda We share findings of patient and health system factors that are contributing to multidrug-resistant tuberculosis patient mortality, following the introduction of facility-based death reviews into the programmatic management of drug-resistant TB in Uganda. 

John Paul Otuba

13:39 - 13:50: Q&A


Loading...
Channel 3
OA-19-Histories of success: improving TB and latent TB infection care
event_note
Loading...
query_builder 15:00 - 16:20 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-19-Histories of success: improving TB and latent TB infection care
*Please scroll down for more information*


15:00 - 15:05: Introduction


15:05 - 15:13: OA-19-619-22-Utility of stool CBNAAT in the diagnosis of paediatric pulmonary TB in India This study was conducted in New Delhi, India. It evaluated the utility of the stool CBNAAT test in paediatric pulmonary tuberculosis (TB). Results of stool CBNAAT were in near perfect agreement with Gastric aspirate CBNAAT results. This specimen could help in achieving microbiological confirmation in peripheral areas with a shortage of trained staff.

Anurag Agarwal

15:13 - 15:21: OA-19-620-22-Improving TB treatment outcomes: the role of the quality improvement approach: a case from Nairobi City County, Kenya Quality improvement (QI) plays a critical role towards attainment of the End TB Strategy goals, leveraging on already existing systems. This intervention demonstrates sustainable team-driven strategies that adopt a QI approach towards improvement of tuberculosis (TB) outcomes in the highest TB-burden county of Kenya.

Evelyn Nganga

15:21 - 15:29: OA-19-622-22-Use of intravenous isoniazid and ethambutol administration in patients with new sputum-positive, drug-susceptible pulmonary TB with tuberculous meningoencephalitis and HIV co-infection Fifty-four patients with TB-meningoencephalitis (TM) and HIV co-infection, were enrolled in this study. In TB-TM with HIV, intravenous isoniazid and ethambutol treatment was more effective than oral isoniazid and ethambutol at two months of intensive treatment. In addition, the mortality rate was lower in intravenously isoniazid and ethambutol treatment than oral.

Dmytro Butov

15:29 - 15:37: OA-19-623-22-When facility-based detection is not enough: increasing TB case detection through a social and behaviour change strategy in Nigeria The United States Agency for International Development's SHOPS Plus project created a social and behaviour change strategy, using geographic information systems (GIS) data, to hold community-led events in high tuberculosis (TB) burden communities where local healthcare providers and community leaders educate community members to seek care for TB symptoms and offer free TB screening and testing.

Ayodele Iroko

15:37 - 15:45: OA-19-624-22-Treatment uptake in people with TB detected by active case finding in Cà Mau Province, Viet Nam In the context of community-wide screening in rural province Cà Mau, Viet Nam, we estimate the proportion of tuberculosis screen-positive individuals who participate in each stage of the treatment cascade.

Boi Khanh Luu

15:45 - 15:53: OA-19-625-22-Analysis of large, patient-level dataset to predict outcome of treatment for patients with drug-sensitive and drug-resistant TB Drug-resistant tuberculosis (DR-TB) treatment is challenging and frequently leads to poor outcomes. NIAID TB Portals programme - an international collaboration focusing on DR-TB - collects, annotates and analyses patient-level data from multiple hospitals. We present a comprehensive machine learning analysis of patient characteristics, across diverse domains, associated with treatment outcome.

Qinlu Wang

15:53 - 16:20: Q&A


Loading...
Channel 5
SP-25-It takes more than bandwidth - using the Extension for Community Healthcare Outcomes virtual community of practice model to build local health workforce capacity.
event_note
Loading...
query_builder 16:30 - 17:50 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Symposium
mic English
SP-25-It takes more than bandwidth - using the Extension for Community Healthcare Outcomes virtual community of practice model to build local health workforce capacity.
*Please scroll down for more information*
Countries with a high burden of tuberculosis (TB) are implementing the ECHO (Extension for Community Healthcare Outcomes) telementoring model — based on a combination of video conferencing, case-based learning, sharing of best practices and monitoring outcomes — to target communities where health disparities are the greatest. We will introduce participants to the basic principles of the ECHO virtual community of practice model that connects national and international experts with local TB practitioners, highlight innovative and sustainable examples of implementation in a variety of country contexts, and promote discussion around the challenges and opportunities for adapting the model to TB education and workforce development globally.

16:30 - 16:35: Introduction

16:35 - 16:45: National Initiative to Strengthen Collaboration between HIV-TB through e-learning (e-NISCHIT) in IndiaIn 2017, the national AIDS and TB programs introduced conceptual changes in TB guidelines, wherein TB treatment for PLHIV was shifted from TB to HIV clinics. Initial experience pointed towards a countrywide need for mentoring of HIV teams in clinical and programmatic management of TB. An HIV-TB ECHO program, e-NISCHIT, was started in 2018, in collaboration with Government of India, CDC, Share India and ECHO India. National Institute of TB is the hub for this program and state run HIV Clinics from two states each of North and South India (~100 clinics) were selected to be the initial spokes. This program has successfully conducted 52 sessions to date, enabling rapid percolation of TB/HIV guidelines and handholding of peripheral HIV teams to undertake optimal TB management. The GOI has recently extended this program to areas with high prevalence of both HIV and TB in India's northeast and plans to expand nationwide.
Upasna Agarwal

16:45 - 16:55: Ensuring quality TB and specialty care for underserved patientsDespite universal access to tuberculosis (TB) diagnosis and treatment in Georgia, TB services in rural and underserved areas of the country are still unevenly distributed; there is a lack of access to multi-disciplinary and specialty care, as well as to the latest updates and innovations in TB diagnosis, patient care and treatment. As a result, the majority of TB patients are referred to the central TB treatment facility to receive quality TB and specialty care. To overcome the challenges of delayed treatment initiation and minimize time and costs of patient travel to central facilities, Project TB-ECHO was implemented in late 2017 and fully functional since early 2018. Over 800 patient cases have been discussed since ECHO implementation which gives the country a hope to soon have a significant improvement in the number of lost to follow-up cases, increased treatment success and enhanced capacity of human resources on all country levels.
Mariana Buziashvilli

16:55 - 17:05: Building a Community of Practice for TB Program Managers - Utilizing the ECHO ModelThe National Tuberculosis Controllers Association (NTCA) is the premier organization in the United States representing tuberculosis (TB) public health programs; NTCA has evolved as a non-profit, professional member service organization and has over 600 members from every state, city, and territorial TB program. NTCA wanted to enhance networking and educational opportunities to meet the unique needs of TB program managers responsible for overall program administration. The NTCA launched its first Community of Practice session on July 11, 2019 with 56 participants from across the United States.  The initial sessions (296 participants) focused on writing and preparing the CDC TB Cooperative Agreement 2020 Notice of Funding Opportunity.  Series Two, (161 total participants) focused on writing the CDC Cooperative Agreement Five Year Progress Report. Series Three, (237 participants) focused on the maintenance of TB programmatic and clinical activities despite the pressing COVID-19 responsibilities added to TB programs.
Diana Fortune

17:05 - 17:15: Expansion of the Regional TB ECHO Program across Central AmericaThe CDC Central America Regional (CAR) Office provides technical assistance to Ministries of Health in the region through a PEPFAR funded TB/HIV program. In 2019, WHO reported 14,353 TB cases in CAR including 1123 cases ofTB/HIV in the region of seven countries. Some of the challenges faced to obtain TB epidemic control in rural areas are lack of resources, poor referral of patients for care and treatment, difficult to reach communities and lack of specialized trained physicians to treat TB. From 2018-2019, CDC CAR launched three TB ECHOs in Guatemala, Panama and Honduras. The TB ECHO program in Guatemala included a 6-month TB basics national certificate program and trained around 300 healthcare workers. In addition to the national programs, CDC CAR and its partner SE-COMISCA (Commission of Ministries of Health in the region) launched a regional program in May 2020 to discuss common challenges for all countries such as TB cases in immigrants, people living with HIV, diabetes and COVID-19.
Diana Patricia Forno

17:15 - 17:25: Advancing Prevention in Massachusetts, USA - Implementing the ECHO model to increase latent tuberculosis infection testing and treatment in primary careIn 2016, the US Preventive Services Task Force updated recommendations to support latent tuberculosis infection(LTBI) testing as a preventive strategy and recommended that primary care providers(PCPs) integrate LTBI management into their primary care practices. PCPs rarely receive sufficient LTBI training and feel uncomfortable prescribing rifampin and isoniazid. In 2019, the Massachusetts (MA) Department of Health partnered with the University of MA Project ECHO hub to design a LTBI ECHO. The course incorporates six virtual telementoring sessions for MA PCPs. A mixed-methods program evaluation was conducted. Pre- and post quantitative structured surveys were administered to LTBI ECHO course participants. Qualitative in-depth interviews were conducted with participants and content experts to assess resulting practice changes and recommendations. We found that our LTBI ECHO course increases PCPs knowledge and confidence and supports practice change. Health departments may find LTBI ECHO programs to be an effective intervention to train PCPs in LTBI management.  
Daria Szkwarko

17:25 - 17:50: Q&A session

Loading...
Channel 1
OA-21-Finding missing people with TB: targeted approaches
event_note
Loading...
query_builder 16:30 - 17:50 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-21-Finding missing people with TB: targeted approaches
*Please scroll down for more information*


16:30 - 16:35: Introduction


16:35 - 16:43: OA-21-626-22-TB screening and treatment by neo-literate community volunteers among tribal populations in insurgency hit Swabhiman Anchal saved lives and livelihoods in Malkangiri district, Odisha Tuberculosis (TB) screening and treatment by neo/semi-literate community volunteers among tribal populations in insurgency hit Swabhiman Anchal (cut-off area) saved lives and livelihoods in Malkangiri district, Odisha. Engaging the community themselves and adapting out-of-box strategies brought a significant impact on the disease prevalence and mortality among such a community.

Gayadhar Mallick

16:43 - 16:51: OA-21-627-22-Investigating the feasibility of universal screenings and instituional treatment support of the homeless population through a mobile digital X-ray and CBNAAT algorithm in India A pilot study demonstrated the efficacy of a universal screening test, using a mobile digital X-ray and CBNAAT algorithm, and the high, untreated burden of tuberculosis (TB) among the homeless population in Delhi.  It also pointed to the importance of a diversity of treatment support mechanisms required for treatment completion.

Armaan Mullick Alkazi

16:51 - 16:59: OA-21-628-22-Risk factors associated with loss to follow-up among multidrug-resistant TB patients in Ukraine Risk factors associated with loss to follow-up (LTFU) among multidrug-resistant (MDR-TB) patients in Ukraine. Our data reinforced the concept that LTFU in MDR-TB is a serious public health problem and that adequate follow-up of treatment is necessary, along with the expansion of social support programmes for patients, in order to avoid unfavourable outcomes.

Olha Zaitseva

16:59 - 17:07: OA-21-629-22-Promoting a community-led, multisectoral and collaborative response to TB: learnings from India Globally, the tuberculosis (TB) response has remained largely biomedical, with minimal involvement of communities and other actors. An intervention to engage previously un-engaged stakeholders and to broaden the conversation around TB was implemented in India between 2016-2019 and affirmed that a multisectoral, community-led approach is essential to trigger collective action.

Anupama Srinivasan

17:07 - 17:15: OA-21-630-22-Towards a Nairobi TB free city: engaging city authorities towards the elimination of TB: the case of the Nairobi City County government Local city authorities play a critical role towards attainment of the End TB Strategy goals. However, their engagement has been challenging in many countries. This presentation outlines key steps towards successful engagement of city authorities in tuberculosis (TB) activities to ensure ownership and sustainability of efforts towards ending TB.

Ann Masese

17:15 - 17:23: OA-21-631-22-Maintaining TB care and management through community refills in a high HIV-TB-burden setting in the era of COVID-19 TB-HIV care was provided in the community due to COVID-19 measures, which limited the ability of patients to come to the clinic for routine care and drug refills. The community programme implementation alleviated travel challenges and led clinicians to also understand community influences in accessing to care.

Hloniphile Gama

17:23 - 17:31: OA-21-632-22-A WhatsApp-based interactive communication strategy to reduce initial loss to follow-up among presumptive TB patients in a high-incidence setting Delays and losses along the tuberculosis (TB) care cascade constitute important challenges for TB programmes. Mobile messaging services, such as WhatsApp, might help mitigate these challenges. We developed and piloted a WhatsApp-based interactive communication intervention to reduce initial loss to follow-up among individuals awaiting TB test results in a high-incidence setting.



Florian M. Marx

17:31 - 17:50: Q&A


Loading...
E-posters
EP20-Community healthcare workers in evidence
event_note
Loading...
query_builder 10:00 - 11:00 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel E-poster session
mic English
EP20-Community healthcare workers in evidence
*Please scroll down for more information*
All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP20-288-23-Household contact tracing of pulmonary bacteriologically-confirmed TB patients by community health workers in Bumula sub-countyCommunity health workers can effectively implement household contact tracing in resource-limited settings. Contact tracing of bacteriologically-confirmed tuberculosis (TB) patients is a strategy that can be used in finding the missing TB cases and to increase the uptake of isoniazid preventive therapy in children under 5 years of age.
Robert Magomere

EP20-289-23-“After we gave their children polio vaccine we also asked if anyone was coughing"..... exploring programme integration through experiences of front line health workers in NigeriaA phenomenological qualitative research methodology was used to explore health workers' perception of programme integration. We found that simple interventions with minimal documentation can be successfully integrated at the community level. The strengths of the polio vaccination intervention were leveraged to improve tuberculosis control in our setting.
Chukwuebuka Ugwu

EP20-290-23-Can point-of-care CRP improve symptom-based TB screening for detection of TB in the community?New tools for screening tuberculosis (TB) are required in high-burden settings. We evaluated the performance of point-of-care (POC) C-reactive protein (CRP) alone, and in combination with symptom screening, for identifying TB in the community in 701 participants from Zambia and South Africa.
Maria Ruperez

EP20-292-23-The roles of community cadres in applying virtual case finding due to the COVID-19 pandemicIndonesia is still facing challenges in tuberculosis (TB) case finding as the preventive action for TB transmission. Home visits by community cadres for contact investigation is the key strategy.  But this activity had to stop because of the COVID-19 pandemic.  Now, virtual screening is an alternative for case finding.
Esty Febriani

EP20-293-23-Finding missing people with TB: the role of community health workers/volunteers in TB contact tracing in Tanzania (January–March 2020)Finding missing people with tuberculosis (TB) using community health workers/volunteers is of paramount importance in attaining the United Nations High-Level Meeting targets. The overwhelmed health facility staff and TB coordinators need to engage community platforms and link with the confirmed TB patient's contacts for follow-up in the community.
Godwin Munuo

EP20-294-23-Community health workers at the front line: task shifting shows high TB sputum rates at primary healthcare level in King Cetshwayo District, KwaZulu-Natal, South AfricaTrained community health workers take on important activities to improve case finding, diagnosis and support of drug-sensitive tuberculosis (TB) patients in a semi-rural, resource-constrained high TB burden setting of the province of KwaZulu-Natal in South Africa.
Liesbet Ohler

EP20-295-23-The comparative yield of contact investigations from an index patient-led contact tracing approach and a community healthcare provider-led approachThe comparative yield of contact investigations from an index, patient-led contact tracing approach and a community healthcare provider-led approach, showed that index patient-led contact tracing is an effective approach for finding missed tuberculosis (TB) cases quickly and could be employed among youths and communities with high stigma index.
Catherine Kunihira

EP20-296-23-Improving systematic TB case finding for community platforms in low-resource settings in Lao PDRThe Lao PDR National TB Center implemented a comprehensive tuberculosis (TB) case finding model in two districts in Champasack province. The systematic case finding pilot engaged village heath workers to screen symptomatic persons and identify vulnerable population and to refer both groups for 100% GeneXpert testing to improve treatment coverage rates.
Sakhone Suthepmany

Loading...
E-posters
EP24-TB innovative strategies to find the missing cases
event_note
Loading...
query_builder 10:00 - 11:00 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel E-poster session
mic English
EP24-TB innovative strategies to find the missing cases
*Please scroll down for more information*
All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP24-325-23-Engaging patient medical vendors in TB case finding: the pros and consPatient Medical Vendors (PMVs) are an informal medical outfit that are widely patronised by the majority of the populace in Anambra State Nigeria, this Global fund Caritas Nigeria private sector intervention rant engaged PMVS for TB case finding, this Abstract reviewed the process of engagement, their Case contribution and challenges encountered.
Chidimma Ezeobi -Okoye

EP24-326-23-Enhancing TB diagnosis among unengaged, standalone, formal and informal private health facilities in finding missing people with TB in KenyaPrivate provider engagement (PPE): enhancing TB diagnosis among unengaged, standalone, formal and informal private health facilities to find missing people in Kenya with tuberculosis through capacity building of the providers, strengthening linkages and the provision of sample transport mechanism.
John M. Ng'ang'a

EP24-327-23-The role of community-based interventions to reach out to underserved populations and increase the success rate of TB treatment in Gaza Province, Mozambique, 2019The following abstract assesses the strategy to provide tuberculosis (TB) services to hard-to-reach communities in a low-income setting through active case finding in Gaza. This province aggregates key TB determinants, such as historic mining migration to South Africa and the high burden of HIV. 
Bachir Macuacua

EP24-328-23-TB active case finding in fragile post-conflict areas in Darfur, SudanTuberculosis (TB) services in the Al Malha locality were, throughout the years, affected by the Darfur conflict. TB active case finding was adopted to increase case detection rates, improve the quality of the TB services and increase health awareness. Unfortunately, after finishing the project the TBMU was closed. 
Muaz Hassan

EP24-329-23-Low male yield from community-based TB contact tracing: experiences from community contact tracing in LesothoLesotho is a high tuberculosis (TB) burden country with low treatment coverage. Community TB contact tracing, adopted to improve case finding, appears to be missing men. We analysed programme performance across the contact tracing cascade to look for differences by age and sex.
Tafadzwa Chakare

EP24-330-23-TB screening at Bungoma Bus Park, Bungoma County, KenyaRegular tuberculosis (TB) screening in bus parks can led to an increase in TB case notification, eventually reducing transmission of TB. Adherence counselling and the provision of TB drugs, during convenient hours, to touts and drivers can reduce TB treatment interruption in this group.
Robert Magomere

EP24-331-23-Yield and coverage of active case finding interventions for TB control in high burden countries: a systematic review and meta-analysisThis systematic review and meta-analysis summarises data on outcomes of active case finding activities. We highlight how, yield of active tuberculosis (TB) cases and screening coverage, differs in various populations and settings, as well as how different screening and diagnostic methods affect the yield of TB cases.
RUTH DEYA

EP24-332-23-An adaptive decision-making approach to efficiently deploy TB case finding in high burden communitiesStrategies are needed to optimise the use of community-based active case finding (ACF) in high tuberculosis (TB) burden communities. We propose an adaptive decision-making approach, which uses a Bayesian sampling algorithm, to guide ACF resource allocation in order to improve case-finding yield in communities with a prevalence of undiagnosed TB.
Abigail de Villiers

EP24-333-23-Patent and propriety medicine vendor-led community engagement: an innovative approach to finding missing TB cases in rural communities in Boki local government, NigeriaThe missing tuberculosis (TB) cases are in the community. Effectively engaging communities in finding missing persons with TB has been both challenging and cost intensive. The patent medicine vendor resides with the people in the community and could have a critical role in engaging communities in finding missing TB cases.
Igbaji Basil Uguge

Loading...
Channel 1
OA-22-Improving the quality of care
event_note
Loading...
query_builder 11:00 - 12:20 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-22-Improving the quality of care
*Please scroll down for more information*


11:00 - 11:05: Introduction


11:05 - 11:13: OA-22-633-23-Enhancing early detection of TB through targeted outreach in hotspots: an experience of Amref Health Africa in Kenya Targeted tuberculosis (TB) outreaches in hotspots to enhance early detection of TB in schools, prisons, health facilities, market places and public transport termini: an experience of Amref Health Africa in Kenya in collaboration with the national TB programme.

Alice Wanyonyi

11:13 - 11:21: OA-22-634-23-A precision public health approach to identify at-risk population segments and their drivers for not seeking care for TB We conducted an 84,625 household community-based survey in 2017-2018 in Chennai, India, and prospectively followed 1,667 people with tuberculosis (TB) suggestive symptoms. We identified contextual and perceptual drivers of care-seeking, segmented respondents by care-seeking behaviour using unsupervised clustering, and estimated the percent of population with TB that would fall into each segment.

Tichakunda Mangono

11:21 - 11:29: OA-22-635-23-Implementing the standardised patient method to evaluate quality of TB care among private practitioners in South Africa We evaluated the feasibility of utilising patient actors (standardised patients) to determine the quality of tuberculosis care among private GPs in two South African cities. We describe the feasibility, challenges and implementation outcomes of this mixed methods project.

Jody Boffa

11:29 - 11:37: OA-22-636-23-Using low-cost interventions to improve availability of TB medicine in Uganda Tuberculosis (TB) commodities management in a resource-limited setting is vital in ensuring access to quality TB care and services. This can be achieved through implementation of low-cost, inventory management interventions to improve the availability of, and uninterrupted access to, TB medicine, resulting in better TB treatment outcomes.

Henry Kizito

11:37 - 11:45: OA-22-637-23-How the dual role of community facilitators as sample transporters and TB patient contact tracers increased contacts coverage and TB case finding in Kampala The laboratory network in Uganda is linked by motorcycles transporting samples. The Uganda tuberculosis (TB) prevalence survey highlighted inadequate systems for TB patient contact tracing in communities. Challenges to TB diagnosis included delays in reaching/linking TB patients contacts to facilities. To address these, The United States Agency for International Development's Defeat TB project integrated sample transportation systems with community TB contact tracing.


Ronald Mangeni

11:45 - 11:53: OA-22-638-23-Quality of TB and HIV care among private general practitioners in two South African cities Little is known about the quality of tuberculosis (TB) and TB-HIV care in South Africa's private sector, despite 29% of people with TB symptoms seeking private care first. We report on the quality of TB and HIV management received by patient actors presenting to private GPs in Durban and Cape Town.

Sizulu Moyo

11:53 - 12:01: OA-22-639-23-Understanding the dynamics of antibiotics and steroids prescription prior to TB diagnosis in South Africa’s private sector Antibiotic and steroid use can lead to tuberculosis (TB) diagnostic delay and/or complications with TB treatment. We report insights into prescription dynamics based on the qualitative findings from a quality of TB care study among private general practitioners in an urban centre of South Africa.

Jeremiah Chikovore

12:01 - 12:20: Q&A


Loading...
Channel 1
OA-26-Using digital technology for TB elimination
event_note
Loading...
query_builder 12:30 - 13:50 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-26-Using digital technology for TB elimination
*Please scroll down for more information*


12:30 - 12:35: Introduction


12:35 - 12:43: OA-26-661-23-The use of geographic information systems technology and self-reported data to characterise congregate settings with high potential risk for TB transmission in an urban African area The use of geographic information systems technology, coupled with data provided by tuberculosis (TB) cases, can inform local public health interventions which target congregate settings with a high potential risk for TB transmission. In a retrospective cohort study conducted in an urban area in Uganda, we characterised and mapped these high-risk indoor congregate settings.

Maria Eugenia Castellanos Reynosa

12:43 - 12:51: OA-26-662-23-Bundling innovations for public-private mix: experience of artificial intelligence-augmented chest X-Ray screening and TrueLab for diagnosis To increase tuberculosis (TB) case detection in Nagpur slums, a public- private mix intervention was implemented with a novel Qure.ai software installed in private sector chest X-ray labs. Presumptive TB patients with abnormal chest X-ray results were confirmed microbiologically using TrueLab tests in a public sector hospital and linked for public sector treatment.

Shibu Vijayan

12:51 - 12:59: OA-26-663-23-Reducing turnaround time by transitioning from paper-based to digital signature certificate-based approval of direct benefit transfers under National Tuberculosis Elimination Programme, India In order to reduce catastrophic expenditure for various schemes under the National Tuberculosis Elimination Programme, end-to-end digital processing of benefits to various beneficiaries was assessed for feasibility, using Nikshay, the national tuberculosis (TB) patient management system. This demonstrated near real-time communication of process status to all stakeholders, resulting in increased transparency, accountability and process efficiency.

Manu Easow Mathew

12:59 - 13:07: OA-26-664-23-Improving TB patients treatment adherence via electronic monitors and an app vs usual care in Tibet: a pragmatic randomised controlled trial We report the interim analysis of the randomised controlled trial in Tibet, China, that is using electronic monitoring boxes to improve patient adherence to anti-tuberculosis medications. We find e-applications becoming better accepted by healthcare workers and patients during the COVID-19 pandemic period.

Xiaolin Wei

13:07 - 13:15: OA-26-665-23-Preliminary results of a randomised trial comparing traditional in-person directly observed therapy and video-based observed therapy for monitoring TB treatment We conducted a randomised, two-period cross-over trial in New York City tuberculosis (TB) clinics to determine if video-based observed therapy (VOT) is non-inferior to in-person, directly observed therapy (DOT) for assuring adherence to TB treatment. The non-inferiority margin was 10%. We report primary results using intention-to-treat, per protocol, and empiric as-treated approaches.  

Joseph Burzynski

13:15 - 13:23: OA-26-666-23-Assessing adverse events among patients using in-person and electronic directly observed therapy In a randomised cross-over trial comparing in-person directly observed therapy (DOT) with electronic DOT for tuberculosis treatment in New York City, we analysed the reporting and severity of adverse events and the time taken to access care for each DOT method.

Marco M. Salerno

13:23 - 13:50: Q&A


Loading...
Channel 3
OA-29-Who pays the cheque? The economic burden of TB
event_note
Loading...
query_builder 15:00 - 16:20 | Event time (GMT+2)
query_builder - | Your time (GMT)
place Online Session/Virtual
card_travel Oral Abstract session
mic English
OA-29-Who pays the cheque? The economic burden of TB
*Please scroll down for more information*


15:00 - 15:05: Introduction


15:05 - 15:13: OA-29-680-23-Assessing the economic impact of TB mortality in 165 countries: what it will cost if we don’t achieve the End TB targets Tuberculosis (TB) elimination leads to colossal health and development returns. However, evidence on the economics of ending TB remains disparate. We estimate the economic dividend of achieving the End TB mortality target by 2030 and the cost of inaction - the welfare penalty - of not meeting the target until 2045.

Sachin Silva

15:13 - 15:21: OA-29-681-23-First national survey of the costs borne by households with TB in the Democratic Republic of the Congo 2019 The Democratic Republic of the Congo tuberculosis (TB) programme conducted its first national TB patient cost survey in 2019 to establish a baseline for monitoring the progress towards elimination of catastrophic costs, in line with World Health Organization methods. National health and social policy interventions, geared to mitigate newly evidenced economic burden borne by TB patients, require crafting.

Inés Garcia Baena

15:21 - 15:29: OA-29-682-23-Determinants of household catastrophic costs for TB care in Kenya Despite the significant burden of drug-sensitive tuberculosis (DS-TB) cases, little is known about the predictors for catastrophic costs among them. This presentation will share results on the determinants for household catastrophic costs among DS-TB patients in Kenya. This could be the first step in designing tailor-made social interventions.

Beatrice Kirubi

15:29 - 15:37: OA-29-683-23-Economic burden of TB in Tanzania: a national survey of costs faced by TB-affected households Despite free provision of tuberculosis (TB) care, TB-related costs can be overwhelming and sometimes catastrophic for patients and their households, leading to poor treatment adherence and patient outcomes. We conducted a national survey to assess the economic burden of TB on patients and their households in Tanzania in 2019.

Andrew Martin Kilale

15:37 - 15:45: OA-29-684-23-Direct medical costs and out-of-pocket expenditures on TB treatment in three regions of China Although tuberculosis (TB) treatment is free of charge in China, medical costs during the inpatient treatment period still resulted in more than 10% of TB-affected families facing catastrophic costs. During outpatient treatment, the proportion of out-of-pocket expenditures reached almost 50% of direct medical costs because of additional medicines for drug-induced adverse effects.

Xubin Zheng

15:45 - 15:53: OA-29-685-23-Catastrophic costs associated with diagnostic cascade and treatment of TB among patients treated at a public health centre in Rio de Janeiro, Brazil Poor socioeconomic conditions increase the risk for tuberculosis (TB) infection, reactivation and maintenance of TB in the community. We conducted a study involving patients undergoing TB treatment in a municipal health centre in Rio de Janeiro aiming to assess the direct, indirect and catastrophic costs incurred for patients with TB.

Adriana da Silva Rezende Moreira

15:53 - 16:01: OA-29-686-23-Why Cepheid Xpert MTB/RIF and SARS-CoV-2 cartridges should not be sold to low- and middle-income countries at more than $5 per test An independent cost-of-goods analysis of Cepheid’s GeneXpert MTB/RIF and HIV viral load cartridges, currently priced at $9.98 and $14.90 for low- and middle-income countries, indicates that one cartridge can be produced below $5 and can be sold, with profit, for between $5 and $7, including service and maintenance.

Stijn Deborggraeve

16:01 - 16:09: OA-29-687-23-The cost of TB contact investigation in Uganda Tuberculosis (TB) contact investigation has been recommended for a long time. However, it is not being fully implemented in most low- and middle-income countries. One of the main issues raised for this is the cost. We set out to find the cost relative to GDP and we found it to be high.

Michael Kakinda

16:09 - 16:20: Q&A


Loading...
Processing. Please wait.
Loading...