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dc.contributor.authorMachekera, Shepherd*
dc.contributor.authorWilkinson, Ewan*
dc.contributor.authorHinderaker, Sven G.*
dc.contributor.authorMabhala, Mzwandile A.*
dc.contributor.authorZishiri, Christopher*
dc.contributor.authorNcube, Ronald*
dc.contributor.authorSandy, Charles*
dc.contributor.authorTimire, Collins*
dc.contributor.authorTakarinda, Kudakwashe*
dc.contributor.authorSengai, Tonderai*
dc.date.accessioned2019-06-25
dc.date.available2019-06-25
dc.date.issued2019-06-21
dc.identifier.citationMachekera, S., Wilkinson, E., Hinderaker, S. G., Mabhala, M., Zishiri, C., Ncube, R., Sandy, C., Timire, C., Takarinda, K. & Sengai, T. (2019). A comparison of the yield and relative cost of active tuberculosis case-finding algorithms in Zimbabwe. Public Health Action, 9(2), 63-68.
dc.identifier.doi10.5588/pha.18.0098
dc.identifier.urihttp://hdl.handle.net/10034/622378
dc.description.abstractSetting: 10 districts and 3 cities in Zimbabwe Objective: To compare the yield and relative cost of identifying a case of tuberculosis (TB) if the National TB Programme (NTP) used one of three World Health Organisation (WHO)-recommended algorithms (2c,2d,3b) instead of Zimbabwe’s active case finding (ACF) algorithm Design: Cross-sectional study using data from the Zimbabwe ACF project. Results: 38,574 people were screened from April-December 2017 and 488 (1.3%) were diagnosed with TB. WHO-2d had the least number of people needing a chest X-ray (CXR) at 13,710 (35.5%) and bacteriological confirmation at 2,595 (6.7%). If the NTP had used the WHO recommended algorithms, fewer TB cases would have been diagnosed - 18% (88 cases) with algorithm 2b, 25% (122 cases) algorithm 2d, and only 7% (34 cases) with algorithm 3b. The relative cost-per-case of TB diagnosed for the Zimbabwe algorithm at $565 was over three times that of WHO 3b algorithm ($180) which was the cheapest. Conclusion: The Zimbabwe ACF algorithm had the highest yield but at a considerable cost when compared to WHO algorithms. The trade-off between cost and yield needs to be reviewed by the NTP and changing to use algorithm 3d considered.en_US
dc.language.isoenen_US
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_US
dc.relation.urlhttps://www.theunion.org/what-we-do/journals/phaen_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.titleA comparison of the yield and relative cost of active tuberculosis case-finding algorithms in Zimbabween_US
dc.typeArticleen_US
dc.identifier.eissn2220-8372
dc.contributor.departmentUniversity of Chester
dc.identifier.journalPublic Health Action
or.grant.openaccessYesen_US
rioxxterms.funderNoneen_US
rioxxterms.identifier.projectUnfundeden_US
rioxxterms.versionAMen_US
rioxxterms.versionofrecordhttps://doi.org/10.5588/pha.18.0098
rioxxterms.licenseref.startdate2019-12-21
dcterms.dateAccepted2019-02-09
rioxxterms.publicationdate2019-06-21
dc.date.deposited2019-06-25


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