Scaling Up TB Screening and TB Preventive Treatment Globally: Key Actions and Healthcare Service Costs

Tropical Medicine and Infectious Disease

article

Srinath Satyanarayana¹  Carel Pretorius²  Avinash Kanchar³  Ines Garcia Baena³  Saskia Den Boon³  Cecily Miller³  Matteo Zignol³  Tereza Kasaeva³  Dennis Falzon³ 

[1] Centre for Operational Research, International Union against Tuberculosis and Lung Disease;Centre for Modelling and Analysis, Avenir Health;Global TB Programme ,(GTB), World Health Organization

关键词: tuberculosis;    prevention and control;    latent tuberculosis infection;    diagnosis;    active case finding;    costs and cost analysis;   

DOI  :  10.3390/tropicalmed8040214

学科分类：社会科学、人文和艺术（综合）

来源: mdpi

【 摘 要 】

45 million people attending health facilities with symptoms would have needed to be evaluated for TB. An additional 23.1 million people with HIV, 19.4 million household TB contacts, and 303 million individuals from high-risk groups would have required systematic screening for TB. The estimated total costs amounted to ~USD 6.7 billion, of which ~15% was required for passive case finding, ~10% for screening people with HIV, ~4% for screening household contacts, ~65% for screening other risk groups, and ~6% for providing TPT to household contacts. Significant mobilization of additional domestic and international investments in TB healthcare services will be needed to reach such targets in the future.

【 授权许可】

CC BY