title: Experience of active tuberculosis case finding in nearly 5 million households in India.
abstract: In India, to increase tuberculosis (TB) case detection under the National Tuberculosis Programme, active case finding (ACF) was implemented by the Global Fund-supported Project Axshya, among high-risk groups in 300 districts. Between April 2013 and December 2014, 4.9 million households covering ~20 million people were visited. Of 350 047 presumptive pulmonary TB cases (cough of ⩾2 weeks) identified, 187 586 (54%) underwent sputum smear examination and 14 447 (8%) were found to be smear-positive. ACF resulted in the detection of a large number of persons with presumptive pulmonary TB and smear-positive TB. Ensuring sputum examination of all those with presumptive TB was a major challenge.
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: B M
authors.initials: BM
authors.lastname: Prasad
authors.affiliation: Centre for Operational Research, The Union, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Satyanarayana
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Chadha
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: A
authors.initials: A
authors.lastname: Das
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: B
authors.initials: B
authors.lastname: Thapa
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: S
authors.initials: S
authors.lastname: Mohanty
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: S
authors.initials: S
authors.lastname: Pandurangan
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: E R
authors.initials: ER
authors.lastname: Babu
authors.affiliation: International Union Against Tuberculosis and Lung Disease (The Union) South-East Asia Regional Office, New Delhi, India.
authors.forename: J
authors.initials: J
authors.lastname: Tonsing
authors.affiliation: Central Tuberculosis Division, Ministry of Health & Family Welfare, Government of India, New Delhi, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Sachdeva
keywords: India; active case finding; project Axshya; tuberculosis