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Abstract：
UNASSIGNED: Based on the theme of World Tuberculosis (TB) Day 2018-\"Wanted Leaders for TB free world,\" various studies and country-level project have witnessed how training leaders on TB has helped enhance TB awareness in the community. This study was conducted to evaluate the effectiveness of Advocacy Communication and Social Mobilization (ACSM) intervention strategy through key community leaders, using Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework.
UNASSIGNED: This study was undertaken by the Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Puducherry, in the field practice area of Primary Health Centre (PHC), Thirubuvanai. The STOP TB, ENGAGE-TB, and National TB Elimination Program (NTEP) guidelines were used for interventions. Key community leaders (KCL) list (N = 117) was obtained from Mannadipet commune panchayat and PHC. The study was conducted in four phases: phase 1 (baseline): quantitative data: proportion of presumptive TB cases from notification register; phase 2 (intervention): training program for staff nurses, auxiliary nurse midwife (ANM), Accredited Social Health Activist (ASHA), and Anganwadi workers (group activity), participatory rural appraisal (PRA) activity for self-help group (SHG) leaders, and health education session for religious leaders and ex-panchayat leaders; phase 3: strengthening of ongoing activity: health education session and active case finding for TB; and phase 4: end line: outcome of the intervention, evaluated using the RE-AIM framework.
UNASSIGNED: As an outcome of the intervention, there was a marginal increase (21 cases) in the proportion of presumptive TB cases when comparing before (2018) and after (2019) intervention. The proportion of presumptive TB cases identified and referred by KCL was 312. A total of 77 presumptive TB cases were identified through community-based active case finding (ACF). Two sputum samples (on the spot early morning) were collected and sent for Cartridge-based nucleic acid amplification testing (CBNAAT), of which three cases were positive.
UNASSIGNED: This study was community led and involved leaders from diverse backgrounds, optimizing the chance of success. For sustainability, we have initiated TB support group.
UNASSIGNED: This study was undertaken by the Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital (SMVMCH), Puducherry, in the field practice area of Primary Health Centre (PHC), Thirubuvanai. The STOP TB, ENGAGE-TB, and National TB Elimination Program (NTEP) guidelines were used for interventions. Key community leaders (KCL) list (N = 117) was obtained from Mannadipet commune panchayat and PHC. The study was conducted in four phases: phase 1 (baseline): quantitative data: proportion of presumptive TB cases from notification register; phase 2 (intervention): training program for staff nurses, auxiliary nurse midwife (ANM), Accredited Social Health Activist (ASHA), and Anganwadi workers (group activity), participatory rural appraisal (PRA) activity for self-help group (SHG) leaders, and health education session for religious leaders and ex-panchayat leaders; phase 3: strengthening of ongoing activity: health education session and active case finding for TB; and phase 4: end line: outcome of the intervention, evaluated using the RE-AIM framework.
UNASSIGNED: As an outcome of the intervention, there was a marginal increase (21 cases) in the proportion of presumptive TB cases when comparing before (2018) and after (2019) intervention. The proportion of presumptive TB cases identified and referred by KCL was 312. A total of 77 presumptive TB cases were identified through community-based active case finding (ACF). Two sputum samples (on the spot early morning) were collected and sent for Cartridge-based nucleic acid amplification testing (CBNAAT), of which three cases were positive.
UNASSIGNED: This study was community led and involved leaders from diverse backgrounds, optimizing the chance of success. For sustainability, we have initiated TB support group.
摘要：
■基于2018年世界结核病（TB）日的主题-“希望无结核病世界的领导人，“各种研究和国家一级的项目见证了结核病培训领导人如何帮助提高社区对结核病的认识。本研究旨在通过主要社区领导人评估倡导沟通和社会动员（ACSM）干预策略的有效性。使用Reach,有效性,收养,实施,维护(RE-AIM)框架。
■本研究由社区医学部进行，SriManakulaVinayagar医学院和医院（SMVMCH），Puducherry,在初级保健中心(PHC)的实地实践领域，Thirubuvanai.STOPTB,ENGAGE-TB,和国家结核病消除计划（NTEP）指南用于干预措施。主要社区领导人（KCL）列表（N=117）是从Mannadipet公社panchayat和PHC获得的。该研究分四个阶段进行：第一阶段（基线）：定量数据：来自通知登记册的推定结核病病例比例；第二阶段（干预）：员工护士培训计划，辅助护士助产士（ANM），认可的社会健康活动家（ASHA），和Anganwadi工人(小组活动)，自助小组(SHG)领导人参与式农村评估(PRA)活动，为宗教领袖和前panchayat领袖举行的健康教育会议；第3阶段：加强正在进行的活动：健康教育会议和结核病的积极病例发现；第4阶段：终点线：干预的结果，使用RE-AIM框架进行评估。
■作为干预的结果，与干预前(2018年)和干预后(2019年)相比,结核病推定病例比例略有增加(21例).KCL确定和转介的推定结核病病例比例为312。通过基于社区的主动病例发现（ACF），总共确定了77例推定结核病病例。收集两个痰样本（在清晨）并送去进行基于Cartridge的核酸扩增测试（CBNAAT），其中三例为阳性。
■这项研究是由社区领导的，涉及来自不同背景的领导者，优化成功的机会。为了可持续性，我们已经启动了结核病支持小组。
■本研究由社区医学部进行，SriManakulaVinayagar医学院和医院（SMVMCH），Puducherry,在初级保健中心(PHC)的实地实践领域，Thirubuvanai.STOPTB,ENGAGE-TB,和国家结核病消除计划（NTEP）指南用于干预措施。主要社区领导人（KCL）列表（N=117）是从Mannadipet公社panchayat和PHC获得的。该研究分四个阶段进行：第一阶段（基线）：定量数据：来自通知登记册的推定结核病病例比例；第二阶段（干预）：员工护士培训计划，辅助护士助产士（ANM），认可的社会健康活动家（ASHA），和Anganwadi工人(小组活动)，自助小组(SHG)领导人参与式农村评估(PRA)活动，为宗教领袖和前panchayat领袖举行的健康教育会议；第3阶段：加强正在进行的活动：健康教育会议和结核病的积极病例发现；第4阶段：终点线：干预的结果，使用RE-AIM框架进行评估。
■作为干预的结果，与干预前(2018年)和干预后(2019年)相比,结核病推定病例比例略有增加(21例).KCL确定和转介的推定结核病病例比例为312。通过基于社区的主动病例发现（ACF），总共确定了77例推定结核病病例。收集两个痰样本（在清晨）并送去进行基于Cartridge的核酸扩增测试（CBNAAT），其中三例为阳性。
■这项研究是由社区领导的，涉及来自不同背景的领导者，优化成功的机会。为了可持续性，我们已经启动了结核病支持小组。
