The impact of funding on childhood TB case detection in Pakistan

• Type of Material: Article
• Authors: Amyn A Malik, Emory University; Hamidah Hussain, Interactive Research and Development Global; Jacob Creswell, Stop TB Partnership; Sara Siddiqui, Indus Health Network; Junaid F Ahmed, Indus Health Network; Falak Madhani, Indus Health Network; Ali Habib, Interactive Health Solutions; Aamir J Khan, Interactive Research and Development Global; Farhana Amanullah, The Indus Hospital, Pakistan
• Language: English
• Date: 2019-01-01
• Publisher: MDPI
• Publication Version: Final Published Version
• Copyright Statement: © 2019 by the authors.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3390/tropicalmed4040146
• Title of Journal or Parent Work: Tropical Medicine and Infectious Disease
• Volume: 4
• Issue: 4
• Grant/Funding Information: Active case finding during October 2014 to March 2016 was supported through Stop TB Partnership’s TB REACH initiative. TB REACH is generously supported by Global Affairs Canada. Active case finding during October 2016 to March 2018 was supported through The Global Fund funding.
• Keywords: verbal screening; contact tracing; pediatric TB; resources
• Research Categories: Health Sciences, Public Health

Abstract

This study is a review of routine programmatically collected data to describe the 5-year trend in childhood case notification in Jamshoro district, Pakistan from January 2013 to June 2018 and review of financial data for the two active case finding projects implemented during this period. The average case notification in the district was 86 per quarter before the start of active case finding project in October 2014. The average case notification rose to 322 per quarter during the implementation period (October 2014 to March 2016) and plateaued at 245 per quarter during the post-implementation period (April 2016 to June 2018). In a specialized chest center located in the district, where active case finding was re-introduced during the post implementation period (October 2016), the average case notification was 218 per quarter in the implementation period and 172 per quarter in the post implementation period. In the rest of the district, the average case notification was 160 per quarter in the implementation period and 78 during the post implementation period. The cost per additional child with TB found ranged from USD 28 to USD 42 during the interventions. A continuous stream of resources is necessary to sustain high notifications of childhood TB.