An alarmingly high prevalence of tuberculosis (TB) was reported among the Saharia tribe in Madhya Pradesh, India. A community-based intervention study was undertaken to improve TB case finding during 2018–2021. The interventions mainly comprised active case detection through village TB volunteers using advocacy, communication and social mobilisation activities. A preintervention and postintervention survey design was adopted to assess the impact of intervention. The prevalence declined from 1357 (95% CI 1206 to 1527) to 752 (95% CI 646 to 875) per 100 000 population (p<0.001). The study findings highlight the importance of innovative community-based approaches in controlling TB in high burden areas.

中文翻译：

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改善结核病服务的基于社区的方法：对印度高结核病负担弱势社区的干预前和干预后调查的观察


据报道，印度中央邦撒哈拉部落的结核病 （TB） 患病率高得惊人。在 2018-2021 年期间进行了一项基于社区的干预研究，以改善结核病病例的发现。干预措施主要包括通过乡村结核病志愿者使用宣传、沟通和社会动员活动主动发现病例。采用干预前和干预后调查设计来评估干预的影响。患病率从每 100 000 人 1357 例（95% CI 1206 至 1527）下降到 752 例（95% CI 646 至 875）（p<0.001）。研究结果强调了基于社区的创新方法在高负担地区控制结核病的重要性。