Child Contact Case Management—A Major Policy-Practice Gap in High-Burden Countries
Child Contact Case Management—A Major Policy-Practice Gap in High-Burden Countries
Data
2021
Autores
Vasiliu, Anca
Salazar-Austin, Nicole
Trajman, Anete
Lestari, Trisasi
Mtetwa, Godwin
Bonnet, Maryline
Casenghi, Martina
Journal Title
Journal ISSN
Volume Title
Publisher
Pathogens
Resumo
The 2021 Global Tuberculosis (TB) report shows slow progress towards closing the pediatric
TB detection gap and improving the TB preventive treatment (TPT) coverage among child and
adolescent contacts. This review presents the current knowledge around contact case management
(CCM) in low-resource settings, with a focus on child contacts, which represents a key priority
population for CCM and TPT. Compelling evidence demonstrates that CCM interventions are a key
gateway for both TB case finding and identification of those in need of TPT, and their yield and
effectiveness should provide a strong rationale for prioritization by national TB programs. A growing
body of evidence is now showing that innovative models of care focused on community-based and
patient-centered approaches to household contact investigation can help narrow down the CCM
implementation gaps that we are currently facing. The availability of shorter and child-friendly TPT
regimens for child contacts provide an additional important opportunity to improve TPT acceptability
and adherence. Prioritization of TB CCM implementation and adequate resource mobilization by
ministries of health, donors and implementing agencies is needed to timely close the gap.
Description
Palavras-chave
Tuberculosis, prevention, contact case management, contact investigation, tuberculosis preventive therapy, implementation gaps.
Citação
Vasiliu A, Salazar-Austin N, Trajman A, Lestari T, Mtetwa G, Bonnet M, Casenghi M. Child Contact Case Management-A Major Policy-Practice Gap in High-Burden Countries. Pathogens. 2021 Dec 21;11(1):1. doi: 10.3390/pathogens11010001.