Table 2 Practices and tools in the routine system
Activity | Cameroon | Uganda |
|---|---|---|
Index case identification | By the TB focal person at the health facility using the TB register | By the TB focal person at the health facility using the TB register |
Contact investigation | At the health facility. Contact tracing register about to be introduced | Possibility of household contact investigation by the TB focal person Contact register about to be introduced |
Symptom screening | At the health facility, no tool | Possibility of household screening, intensified case finding tool (checklist) |
HIV testing of child contacts | Only medical personnel at the health facility | Possibility of HIV testing by CHWs or healthcare staff |
TPT initiation | 6H, at the health facility, recorded in the TPT register by the TB focal person | 6H, at the health facility, recorded in the TPT register by the TB focal person |
TPT follow-up: adherence and tolerability | Adherence and tolerability not assessed. No tool for TPT adherence. TPT register used for follow-up at the health facility | Adherence and tolerability not assessed. No tool for TPT adherence. TPT register used for follow-up at the health facility |
Safety management | At facility. No tool for safety evaluation | At facility. No tool for safety evaluation |
TPT outcome assessment | According to national TB guideline: completed, death, lost to follow-up. At the health facility by the TB focal person | According to national TB guideline: completed, death, lost to follow-up. At the health facility by the TB focal person |
TB diagnosis | TB investigations at the health facility or referral at a higher-level facility Available tools: chest X-ray, sputum collection, nasopharyngeal aspirate, XpertMTB/RIF testing Laboratory results in the lab register | TB investigations at the health facility or referral at a higher-level facility Available tools: chest X-ray, sputum collection, XpertMTB/RIF testing. Laboratory data collected in the lab register |