Screen For All: Implementation Guide

Publication Year 27 Nov 2023

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About one-third of the ten million people who fall ill with tuberculosis (TB) each year are not diagnosed, not notified, or do not register for treatment. Furthermore, many people delay seeking care for their illnesses before being diagnosed and treated. This results in unfavorable health outcomes, increased expenditure for patients and their families, and more disease transmission. Therefore, increasing early case detection is a critical component of improving TB care and preventing the disease. For this purpose, the World Health Organization’s (WHO) End TB strategy, 2016-2035, includes systematic screening of people at high risk for tuberculosis. Like all case-finding strategies, the “Screen for All” approach has two primary goals: To promote early case detection and ensure treatment at available private or public clinics. To reduce further community transmission and future incidence. Based on WHO’s principles, Myanmar’s national guidelines, and the End TB Field Guide for intensified TB case finding at facilities, this document provides practical guidance for AIS’s local screening strategy by:

  1. Setting the objectives of screening.
  2. Choosing screening tools.
  3. Setting algorithms and operating procedures for each level of service delivery.
  4. Establishing basic indicators for monitoring and evaluating the strategy.