A guide to increasing TB screening amongst the fishing communities: The USAID ASSIST Project's experience from Northern Uganda

In a bid to improve tuberculosis (TB) case identification in northern Uganda, ASSIST has implemented several activities to actively screen for TB in selected populations. The innovation of TB screening of fishermen at landing sites was guided by suggestions from health care providers in Apac district, who shared the observation that a significant number of clients treated for TB were from the landing sites. It was reasonable to expect that tuberculosis might be common in fishing communities, given the high rate HIV prevalence among this population and the congested environment in which many in the fishing community live: two factors that are known risk factors for TB. This prompted the ASSIST team to conduct active TB screening in three landing sites in Apac district. From the TB screening exercise conducted over a week’s period, a total of 8 TB cases were identified.

The document provides guidance on how to conduct active TB screenings at landing sites and includes an intensified case finding form and a GeneXpert specimen collection and referral checklist.

See also: 

Out of 152 samples collected from 3 landing site communities, 8 were positive for TB. The team had discovered a new TB vulnerable population, the fishing communities, who were not originally a target for our TB active case finding intervention activities.​
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Using quality improvement to improve the utilisation of GeneXpert testing at five lab hubs in Northern Uganda
Learn how ASSIST-support teams in Uganda used process improvement to increase the number of TB samples processed on five GeneXpert machines from 91 to 448.


ASSIST publication: 
ASSIST publication
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