References in the content below refer to the PBMEF Guide.
Definitions
Number of people screened for TB disease outside of health facilities by a community health worker or other qualified person (according to national screening protocols) during the reporting period.
“Outside health facility” refers to TB screening activities in the community, including in and outside household or occupational settings (e.g., as part of contact investigation [CI]). It may also refer to routine outreach and event- or location-based screening carried out by community health workers or any other trained/qualified health personnel; for example, a community health fair or prison-based screening activity. Additionally, this term could refer to screening efforts targeted to specific populations that may not have access to facility based testing and are at high risk for TB.
"Screening" is defined at a minimum as verbal screening for TB symptoms to identify people to be referred for further clinical evaluation or testing for TB disease. It may include mobile chest X-ray (CXR), an increasingly important intervention in high TB burden settings. It may also include testing for TB infection (TBI) by tuberculin skin test (TST) or interferon-gamma release assay (IGRA).
Numerator
Denominator
Ref # |
DT_SCRN_COMM
(Previously PV-1) |
Tier Level |
Project Level Indicators
|
Category |
Prevent
|
Type |
Outcome
|
Unit of Measure |
Number of people
|
Data Type |
Integer
|
Disaggregations |
Age (0–4, 5–14, 15+)
Sex
Location Type
Population Group
|
Reporting Level |
National, subnational
|
Reporting Frequency |
Quarterly, monthly
|
The data sources for this indicator may vary country to country. In some settings, data will be found in community health worker registers, CI registers, or screening registers at the health facility and district level.
Screening for active TB at the community level or other locations outside of health facilities is important for improving early TB detection in specific groups that are at high risk of TB, have poor access to health care facilities, or both. Detecting people with TB only from persons presenting themselves to health facilities with suggestive symptoms is not sufficient to close the case detection gap, particularly among vulnerable populations (e.g. migrants, refugees, prisoners, homeless, members of indigenous groups). Additionally, the persistence of delays in diagnosis and the accompanying continued transmission in the community highlight the need for active approaches to detect TB early. This indicator helps track the extent of a TB screening program by capturing the number of people screened in nonhealthcare settings. These may include community settings, prisons, shelters, other congregate settings (such as the military), refugee camps, and workplaces.
This indicator is one of 4 indicators reported to the U.S. Congress requested on an annual basis. See Report to Congress on the Prevention of Tuberculosis. Comparing the current number of people screened outside of health facilities to previous years can reveal the growth of efforts to improve systematic screening in different risk groups and outside formal healthcare settings. If this data is disaggregated and analyzed by subpopulation, and yield of new TB cases detected, evaluators can assess if previously identified subpopulations or high-risk groups are being sufficiently reached.
Example charts/graphs:
- TB preventive treatment cascade
- Trends over time comparisons by subpopulations
Indicator Visualizations
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