What are the Vulnerable Population for Tuberculosis

Define Presumptive TB and discuss the implications of identifying a case of presumptive TB

Provide the operational definition of TB infection.

Indicate the previous term Latent TB infection.

Describe how this stage in a person's life is identified.

Discuss the importance of this stage and implication for treatment. 

Contact tracing 

Understand TB Screening in terms of

• Screening is a process to filter out people that are less likely to have a health condition of interest.
• Done using 4 Symptom complex and in some cases using X-ray.
• Advantage - increases pre-test probability of positivity / yield and reduces unwanted diagnostic testing. 
• Understand a population is systematically screened in intensified and active case finding efforts.

Intensified Case Finding

In Passive case finding the health system is passive, where by the patient seeks out healthcare and reports with symptoms of suggestive of TB. Based on this the provider refers the case for diagnostic testing.This is the most basic/ simplest form of case finding to be available everywhere at all times.

Discuss the active approach to case finding as a population level approach, with the activity outside the health facility.

Discuss advantages and disadvantages of ACF.

Discuss the different populations where active case-finding may be applied.

Discuss the importance of health system integration and how it will work.

1. Inclusion of HWC and PHCs of the state system (training, Monitoring etc)

2. Governance by administrators of the state health system