Quraishi Subhi, Quraishi Hilmi, Yadav Hemlata, Singh Ayushi, Fasih Ilmana, Vasquez Nathaly Aguilera, Huria Lavanya, Pande Tripti, Mumba Olive, Kamineni Vishnu Vardhan, Khan Amera
ZMQ Development, New Delhi 110034, India.
McGill International TB Centre, Research Institute of the McGill University Health Center, Montreal, QC H4A 3S5, Canada.
Trop Med Infect Dis. 2022 Mar 11;7(3):49. doi: 10.3390/tropicalmed7030049.
Nuh, Haryana, is one of India's least developed districts. To improve TB case notifications, ZMQ carried out an active case-finding (ACF) intervention conducted by community health workers (MIRAs) using a digital TB storytelling platform to create TB awareness in the community. The combined storytelling and ACF intervention were conducted house-to-house or in community group settings. Steps included (A) the development of digital TB awareness-raising stories using a participatory approach called Story Labs; (B) the implementation of the intervention; and (C) process, outcome, and impact evaluation of these activities. Six digital stories were created and used during ACF in which 19,345 people were screened and 255 people were diagnosed with TB. Of 731 participants surveyed, the stories were well received and resulted in an increase in TB knowledge. ACF activities resulted in a 56% increase in bacteriologically confirmed TB and an 8% decrease in all forms of TB compared to baseline. All form notifications may have been impacted by COVID-19 lockdowns. Digital TB storytelling can improve TB awareness and knowledge, particularly for low-literacy populations. The use of these tools may benefit ACF campaigns and improve TB case finding.
哈里亚纳邦的努赫是印度最不发达的地区之一。为了提高结核病病例通报率，零疟疾联盟开展了一项主动病例发现（ACF）干预措施，由社区卫生工作者（MIRAs）使用数字结核病故事讲述平台在社区中提高结核病意识。故事讲述和ACF干预措施相结合，逐户或在社区团体环境中进行。步骤包括：（A）使用一种名为“故事实验室”的参与式方法制作数字结核病提高认识故事；（B）实施干预措施；以及（C）对这些活动进行过程、结果和影响评估。在ACF期间创作并使用了六个数字故事，其中对19345人进行了筛查，255人被诊断为结核病。在接受调查的731名参与者中，这些故事受到了好评，并提高了结核病知识。与基线相比，ACF活动使细菌学确诊的结核病增加了56%，所有形式的结核病减少了8%。所有形式的通报可能都受到了新冠疫情封锁的影响。数字结核病故事讲述可以提高结核病意识和知识，特别是对于低识字率人群。使用这些工具可能有益于ACF活动，并改善结核病病例发现情况。
