19 October-1 December 2020
The 51st Union World Conference On Lung Health
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E-posters
EP37-Joining efforts for TB elimination: the role of the private sector
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EP37-Joining efforts for TB elimination: the role of the private sector
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All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP37-455-24-Is it worth investing additional resources to catalyse access to TB care in the private sector? An experience from southern IndiaOur study aims to assess the impact of additional project investments on access to TB care services, like microbiological confirmation of diagnosis, universal DST and linkage to government portals by notification, thereby enabling access to incentives etc. Our learning from southern India can be generalised for Indian context and holds high significance in resource-constraint settings.
Vaibhav Ghule

EP37-456-24-The importance of using systematic screening in high TB burden countries to improve case detection rates: a case from private clinical facilities in NigeriaSystematic screening is key to tuberculosis (TB) case detection in high TB burden countries like Nigeria. The United States Agency for International Development SHOPS Plus programme engaged private clinical facilities in Lagos and Kano States to increase case detection though screening and testing. We compared screening, testing and case finding rates between supported hospitals and nursing homes.
Flora Nwagagbo

EP37-458-24-Factors affecting Nigerian private health facilities' TB case finding performance: reviewing programme dataThe United States Agency for International Development's SHOPS Plus Nigeria programme has engaged over 500 private health facilities in Lagos and Kano States to increase case detection. SHOPS Plus assessed the performance of its networked clinical facilities, using service delivery data, so it could better target oversight and diagnostic resources.
Abdu Adamu

EP37-459-24-Improving quality of care in private sector patients: state of Uttar Pradesh, IndiaCase finding in the private sector has been a challenge which was successfully overcome by the Joint Effort for Elimination of Tuberculosis (JEET) project. However, providing quality of care to these diagnosed tuberculosis (TB) patients in the private sector was another area which the JEET team took up as a challenge and managed to improve through state government collaboration.
Bharati Kalottee

EP37-460-24-The experience of engaging private pharmacies in TB case detection in EthiopiaWe present an innovative experience of engaging private pharmacies and drug vendors in tuberculosis (TB) case detection in Ethiopia. By engaging 110 private pharmacies and drug vendors, we contributed to the detection of 699 additional TB cases (21%) compared with a 1% decline in the control zone. The approach should be expanded.
Samson Ogayse

EP37-461-24-The Global Fund public-private mix TB grant: impact in three southern states in NigeriaThe private sector constitutes a majority of the Nigerian healthcare system. However, only 2.5% of these facilities are formally engaged for tuberculosis services, contributing 11% to total case notification in the country. We present the preliminary findings on the impact of private sector engagement in three states of southern Nigeria.
Chukwuka Alphonsus

EP37-462-24-How frequently are TB care providers changed in the private sector in rural Bihar, India?Provider switching can impact patient care and result in a high-cost of care in the private sector. Understanding its nature and reasons are crucial to addressing it in the tuberculosis programmes engaging the private sector.
Smriti Ridhi

EP37-463-24-Initiation of preventive treatment among household contacts of TB patients registered at a private healthcare facility in Karachi, PakistanInvestigation for tuberculosis (TB) infection in household contacts of individuals with known TB, can lead to early diagnosis and prompt treatment initiation as well as helping to reduce the transmission cycle. In 2019, post-exposure treatment (PET) was initiated for household contacts at a specialised TB diagnostic and treatment centre in the private sector Karachi, Pakistan.
Wafa Jamal

EP37-464-24-Emerging trends in private sector notifications in India: experiences from the Joint Effort for Elimination of Tuberculosis projectThe abstract documents the experiences of implementing the Joint Effort for Elimination of Tuberculosis project (JEET) in geographies covered by FIND India and analyses trends over the years. Comparisons have been drawn with districts where JEET is not being implemented.
Aakshi Kalra

EP37-465-24-Establishment of TB Diagnostic Hubs in Selected Private LaboratoriesEstablishing TB diagnostic hubs in urban private facilities that are surrounded by a rich network of spokes reduces access barriers and hence provide a fertile ground for ACF interventions. Hub and spoke model coupled with a web-based system and a rider, minimizes the leakages in the care cascade. 
Drusilla Nyaboke

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E-posters
EP30-Where are the undiagnosed TB cases?
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EP30-Where are the undiagnosed TB cases?
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All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP30-384-24-Active TB case finding targeted at high burden health facilities in Nigeria: results from a pilot interventionSystematic screening for tuberculosis (TB) in health facility settings and among priority groups remains an important active case finding strategy in high TB burden countries. National TB programmes will benefit through more attention to accurate diagnosis and earlier start of treatment.
Chidubem Ogbudebe

EP30-385-24-Improving TB case finding in hospital outpatient departments: lessons from a health system strengthening approachSystematic screening for tuberculosis (TB) in health facility settings and among priority groups remains an important active case finding strategy in high TB burden countries. National TB programmes will benefit through more attention to accurate diagnosis and earlier start of treatment.
Chidubem Ogbudebe

EP30-386-24-Achieving End TB Strategy: screening for TB in pregnant and non-pregnant women in reproductive age group. Findings from an observational study in Pune, IndiaReproductive age women face a higher risk of tuberculosis (TB) transmission, morbidity and mortality. But women’s access to healthcare is restricted. This study discusses prevalence of active/suspected and latent TB in pregnant and non-pregnant women screened for TB in a hospital in Pune, India. It also discusses he challenges faced for screening.
Mallika Alexander

EP30-387-24-Active case finding for TB among factory workers in Punjab, IndiaFactories are one of the key areas for tuberculosis (TB) prevention and control activities. However, an apprehension of losing employment continues to deter factory workers from participating in TB screening. In close co-ordination with factory owners, active case finding at factories can increase awareness and confidence among workers to seek care.
Prachi Shukla

EP30-388-24-TB treatment outcomes among patients identified through active case finding in a high-density, urban township in Lusaka, ZambiaActive case finding is gaining traction as a means to find missing TB cases in communities as we aim to achieve the End TB Strategy. It identifies individuals who otherwise would spread the disease and further fuel the epidemic. Ever wondered what happens to TB patients identified in this manner? 
Sulani Nyimbili

EP30-389-24-The yield of school-based active TB case finding in Oromia Region of EthiopiaIn the Oromia Region of Ethiopia, which has a high TB burden, school-based TB screening is an advantage. Additional TB cases can be identified in school settings and there is the added advantage of engaging school students in community and household presumptive TB referrals.

Bizuneh Alemu Fetenesa

EP30-390-24-Strengthening active TB case finding: results from using an active case finding toolkit at health facilities in UgandaWith one-quarter of estimated tuberculosis (TB) patients missed, the Ugandan Ministry of Health developed active case finding toolkits to improve the quality of TB screening, case detection and treatment at health facilities. Strengthening health worker capacity to implement the toolkit improved performance and should be scaled-up to address gaps in TB notification.
Aldomoro Burua

EP30-391-24-Active TB case finding among HIV key populations and their contacts: an effective intervention modelThe key populations (KPs) for HIV (MSM and FSW) and their close community (KPC) are at an increased risk of tuberculosis (TB). Active TB case finding activities from PSI TOP centres can detect additional TB cases among non PLHIV KPs and their contacts and percentage of TB cases were higher than KPs.
Nandi U

EP30-392-24-Integrating TB case finding into house-to-house polio vaccination campaigns: findings from the July 2019 supplemental immunisation activities in Anambra State, NigeriaWe leveraged the World Health Organization-supported community polio vaccination structure to integrate tuberculosis (TB) case finding into a house-to-house vaccination campaign. Presumptive and confirmed TB cases were reported through the process. Our report shows that the intervention was most productive in peri-urban slums, riverine and hard-to-reach areas. 
Chukwuebuka Ugwu

EP30-393-24-Intensified case finding among outpatients and their companions by using chest X-ray with artificial intelligence software for TB triaging in the PhilippinesThe companions of patients are not usually part of intensified case finding (ICF) for tuberculosis (TB). We included them in ICF in the Philippines by using chest X-ray with artificial intelligence software for TB triage, which resulted in a high TB case yield, from both patients and companions.
Nichel Marquez

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E-posters
EP31-Allied against TB: new and old partners
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EP31-Allied against TB: new and old partners
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All E-posters are accessible via the "E-posters" section of the conference platform until 30 November.

EP31-394-24-TB case yield of at-risk groups using modified screening algorithm in Nigeria secondary and tertiary healthcare facilitiesSystematic screening for tuberculosis (TB) in health facility settings and among priority groups, remains an important active case finding strategy in high burden TB countries. National TB programmes will benefit through more attention to accurate diagnosis and earlier start of treatment.
Chidubem Ogbudebe

EP31-395-24-Engaging informal healthcare providers in TB case identification: experiences from a project in IndiaInformal providers provide the bulk of the initial medical care for people in low-income communities. Tuberculosis (TB) care provided by these informal providers is characterised as non-diagnosis, misdiagnosis and delayed diagnosis and/or inappropriate treatment. Engaging them in TB care is crucial in reducing the delay in diagnosis and for the initiation of treatment.
Ramesh Dasari

EP31-396-24-Key acceptability constructs influence pharmacist participation during a diagnostic referral pilot in Ho Chi Minh City, Viet NamWe conducted a standardised survey to assess the perceptions of private pharmacists, who were engaged and trained as part of a diagnostic referral pilot, on seven constructs of healthcare intervention, acceptability and pilot implementation.
Tran Phuong TM

EP31-397-24-Determinants of TB suspects’ referrals by pharmacies and over-the-counter medicine shop operators for laboratory TB diagnosis in Eastern Region, Ghana: a telephone surveyUptake of community tuberculosis (TB) care in the Eastern region of Ghana is high on account of a collaboration between the regional TB Control programme and pharmacies. The first ever telephone survey in Ghana revealed that pharmacies and over-the-counter shop operators largely support TB referral.
Mavis Pear Kwabla

EP31-398-24-TB care in prisons in New DelhiPrison facilities encounter turmoil in the challenges faced in tuberculosis (TB) control practices due to a continuous high turnover of prisoners. This causes an increased chance of disease transmission in larger communities on their exposure. A cross-sectional survey was conducted utilising active case finding tools to study epidemiological parameters and concoct interventions following their release.
K. K. Chopra

EP31-399-24-How community pharmacies can contribute to early detection and treatment of TB patients in Viet Nam: a cross-sectional, simulated client surveyEarly diagnosis and treatment of tuberculosis (TB) is important for control, particularly in high burden settings. Pharmacies may serve as a conduit for referring presumptive TB patients for clinical investigation. Using a cross-sectional survey, we evaluated if community pharmacies in Viet Nam were capable of referring a simulated client with presumptive TB.
Shukry Zawahir

EP31-400-24-Police become partners in the gight against TB: experience from Kiambu County, KenyaTuberculosis (TB) case identification and infection prevention remain a challenge in the Kenya police service. Police staff, accused persons and reportees are at increased risk of TB due to the overcrowding and poor ventilation of police cells, vans and court holdings. Public health facilities are also less accessible and require travel time.
Gloria Wandeyi

EP31-401-24-Understanding profile and treatment practices of informal health care providers in RIPEND project implementation area, Telangana State, IndiaEngaging informal providers in tuberculosis (TB) care is important as a first point of contact for any initial medical care. It becomes crucial to understand their profile and treatment practices to devise effective mechanisms for their engagement. 

Vikas Panibatla

EP31-402-24-Implementing 100 percent outpatient department screening in a resource- limited setting: what has workedOne hundred percent outpatient department (OPD) screening  for tuberculosis (TB) was implemented in a faith-based hospital to ascertain its impact  on TB case finding using a top to bottom approach. Training and the institution of an OPD team showed a remarkable improvement in the total number of cases identified in this facility.
Chidimma Ezeobi -Okoye

EP31-403-24-Periodic performance review with patent medicine vendors: a fulcrum for improving TB case detection in the community - a case study of Nasarawa state, NigeriaThe search for strategies to effectively engage the private health sector, especially in finding and treating missing tuberculosis (TB) cases, has dominated discussion in recent years. Our intervention engages the patent medicine vendors, through the umbrella associations, in a periodic performance review to enhance TB case detection and notification.
Igbaji Basil Uguge

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Channel 1
OA-36-The role of pharmacies in the TB cascade of care
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OA-36-The role of pharmacies in the TB cascade of care
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12:30 - 12:35: Introduction


12:35 - 12:43: OA-36-721-24-Improving TB case finding through pharmacies using digital tools in Manila City, Philippines Programmatic implementation demonstrating the path of how pharmacy professionals in the community contribute to tuberculosis (TB) case finding through an e-referral tool in the SwipeRx mobile app. It converted a long and tedious paper-based process into a convenient and efficient referral system.

Eden Mendoza-Hisey

12:43 - 12:51: OA-36-722-24-Improving TB preventive therapy data quality in Ethiopia High quality, patient-level data are essential to advance tuberculosis (TB) prevention for people living with HIV. We present results of a data quality improvement initiative for TB preventive therapy initiation/completion, as well as viral load status in electronic medical records, for tracking Ethiopia’s progress toward TB-HIV epidemic control

Biniyam Eskinder

12:51 - 12:59: OA-36-723-24-Treating viral infections and TB with antibiotics in Viet Nam: is there any financial benefits for community pharmacies? This study evaluated the costs of pharmaceutical management of viral infections and tuberculosis in four provinces of Viet Nam using simulated patient survey data. The findings encourage policies that reduce the inappropriate use of antibiotics for viral illnesses in order to reduce patients’ out-of-pocket expense and improve the quality of care in Viet Nam.

Tho Dang

12:59 - 13:07: OA-36-724-24-Engaging private sector drug retailers in Nigeria’s effort to improve TB case identification: screening and diagnostic gaps from mystery client survey in two states Using a mystery client survey methodology, this study examines trained drug retailers’ ability to appropriately identify and manage presumptive tuberculosis (TB) patients in urban Nigeria. Though results reveal minimal unauthorised dispensing of TB drugs, providers missed opportunities for screening and often failed to refer or initiate sputum collection for TB diagnosis.

Sophie Faye

13:07 - 13:15: OA-36-725-24-Exploring the attitudes and practices of pharmacy professionals towards dispensing national TB programme-provided fixed-dosed combinations While fixed-dose combinations (FDCs) for tuberculosis (TB) have been recommended as the standard treatment, Indonesia’s private TB market is dominated by first line, single-formulation drugs. This digital, cross-sectional study explored the pharmacy professional practices and attitudes toward dispensing national TB programme-provided FDCs to increase its availability for patients through pharmacy channels.

Vania Gones

13:15 - 13:23: OA-36-726-24-Assessing antibiotic sales for presumptive and multidrug-resistant TB patients by community pharmacies in Viet Nam: a standardised patients survey The inappropriate use of antibiotics has been a key driver of antimicrobial resistance. We evaluated antibiotics sales in community pharmacies within Viet Na, using a standardised patient survey, for standardised patients presenting with presumptive tuberculosis (TB) and multidrug-resistant TB.

Shukry Zawahir

13:23 - 13:31: OA-36-727-24-The impact of patent medicine vendors in increasing TB case detection among hard-to-reach dwellers in selected districts in Nasarawa State, Nigeria Patent medicine vendors (PMVs) remains a feature of the informal health sector in Nigeria. Previous studies among patients with chronic cough revealed that 60% of respondents seek first level care from the PMVs, hence engaging PMVs promises increased tuberculosis detection. This abstract presents results of our PMV intervention in Nigeria.

Maxwell Onuoha

13:31 - 13:50: Q&A


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Channel 5
SP-47-Youth mobilisation to boost the fight to End TB
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SP-47-Youth mobilisation to boost the fight to End TB
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In 2019, the World Health Organization (WHO) launched the 1+1 initiative; calling for youth mobilisation to boost the fight to End TB. At the first ever Global Youth Town Hall on Ending TB, over 200 youth pledged their commitment by adopting the Youth Declaration to End TB. This declaration outlines key areas where youth can contribute: increasing awareness, fighting stigma and discrimination, patient support, increasing innovation, funding, and multisectoral action. In this session, we present innovative ideas and experiences to operationalise these commitments. The presentations will be informed by a WHO online consultation that delivers innovative solutions through the creativity and diversity of global youth.

15:00 - 15:05: Introduction

15:05 - 15:15: Mobilising young people as powerful advocates to end TBDespite being the world’s top infectious killer, awareness about tuberculosis (TB) is poor, especially among young people who are among those most affected. Information campaigns, peer education and community mobilisation, through social media and in-person, are some ways that Madhusudan has reached thousands of young people. In this presentation he talks about what he has learnt about educating, mobilising and motivating young people to become leading voices in the fight to end TB. He also presents the results of the online consultation, which take these learnings and applies them to new and innovative approaches for reaching young people.
Madhusudan Kaphle

15:15 - 15:25: Making solidarity infectious: how young people can fight stigma and discrimination against people with TBPeople with tuberculosis (TB) face immense stigma and discrimination that can hamper their access to care, as well as their psychosocial wellbeing. While young people are traditionally social justice champions, what role can they play in raising awareness and fighting stigma for TB patients?  Paran looks at this from her personal experience as a TB survivor and advocate, as well as experiences collected from around the world and through the online consultation.
Paran Sarimita Winarni

15:25 - 15:35: Not just diagnostics and medicines: how young people can support those with TB through treatment and recoveryPeople with tuberculosis (TB) face a challenging recovery period and need psychosocial and socioeconomic support to complete their treatment and lead fulfilling lives after surviving the disease. How can young people contribute to this? Funke Dosumu, a TB survivor and advocate, looks at the role each young person can play in supporting TB patients, including using new digital tools to respond better to this need.
Funke Dosumu

15:35 - 15:45: Getting invested: young people’s role in bringing all of society on board and increasing funding to end TBHow do you bring society to take ownership of its tuberculosis (TB) response – addressing not only the healthcare aspects, but the social determinants of the disease? Along with the ministry of health, how do we include other ministries such as for disabilities, for women and child health, for education, for labour, for finance in the response? How do we involve local governments, mobilise the private sector and activate civil society? Hai will speak about an all-of-society approach to ending TB, building on experience from Viet Nam, as well as an international stage and the online consultation.
Hai Nguyen

15:45 - 16:20: Q&A session

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