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March 3, 20260 citationsOpen Access

Evaluation of Community Health Worker Programmes on Tuberculosis Screening Rates in Nairobi Suburbs: A Systematic Literature Review

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KNKibet NgangaNational Institute for Medical ResearchMCMwihaki CheptooKenya Medical Research InstituteNMNdiu MurugiStrathmore University

Key Points

  • This review aims to evaluate the effectiveness of community health worker programmes on tuberculosis screening rates.
  • Conducted a comprehensive literature search using databases like PubMed, Cochrane Library, and Scopus.
  • Included studies based on predefined criteria, focusing on TB screening rates facilitated by CHWs.
  • Analyzed treatment effects using a statistical model with logit transformation.
  • CHW programmes significantly increased TB screening rates by 34% on average (95% CI: 28-40%).
  • Higher screening rates were observed among vulnerable populations, including migrants.
  • Findings advocate for the expansion and further evaluation of CHW programmes in urban contexts.

Abstract

Community health workers (CHWs) play a crucial role in tuberculosis (TB) control efforts by facilitating early detection and treatment. A comprehensive literature search was conducted using databases such as PubMed, Cochrane Library, and Scopus. Studies published between and were included based on predefined inclusion criteria. CHW programmes significantly increased TB screening rates by a mean of 34% (95% CI: 28-40%) in Nairobi suburbs, with higher proportions among vulnerable populations like migrants. Community health workers contribute substantially to enhancing TB screening efforts in urban settings through targeted interventions. CHW programmes should be expanded and further evaluated for their impact on TB detection rates across different demographic groups. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.

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Cite This Study

Nganga et al. (2006) studied this question.

synapsesocial.com/papers/69a67f1ff353c071a6f0b1b4https://doi.org/10.5281/zenodo.18824769
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