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Mixed-methods study shows improved tuberculosis screening in urban slums, suggesting better access to care.
Urban slums in Dar es Salaam face significant challenges in accessing healthcare services, particularly for tuberculosis (TB) screening and treatment. A mixed-methods approach involving qualitative interviews, quantitative surveys, and formative evaluation was employed to assess kit usability and acceptability by community members. Data were analysed using thematic analysis for qualitative data and descriptive statistics for quantitative measures. Mobile health kits improved TB screening uptake in urban slums, with a significant increase of 40% in reported use compared to baseline conditions, suggesting enhanced accessibility and acceptance among residents. The mobile health kits demonstrated potential as an effective tool for rapid TB screening in underserved urban populations, warranting further validation through larger-scale studies. Future research should explore the long-term impact of these kits on TB case detection rates and treatment outcomes. Implementation strategies should include ongoing user feedback loops to refine kit design and distribution. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.
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Maganga et al. (2003) studied this question.
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