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Priority for rapid restoration of tuberculosis (TB) care and prevention during the coronavirus disease 2019 (COVID-19) pandemic
Domains
Actions of priority
Case finding
Development of new standards of clinical consultations
Establishment of affordable online consultations for individuals with presumptive TB
Strengthening of specimen transportation using innovative approaches
Development of algorithm for dual TB and COVID-19 testing among individuals with respiratory symptoms
Application of digital platform and connectivity solutions for rapid delivery of test results
Strengthening of contact examinations during community quarantine for detection of active TB and management of latent TB infection
Treatment
Innovative approach for enrolment of bacteriologically confirmed TB cases on anti-TB treatment to prevent initial loss to follow-up
Strengthening of community-based TB treatment services to reduce health facility visits and prevent interruption of treatment
Scaling-up of digital adherence interventions, such as video directly observed therapy (VOT), short message services and innovative use of mobile applications
Establishment of digital mechanisms for the management of adverse reactions, especially for patients with rifampicin-resistant TB
Resources
Multi-sectorial approaches for restoration and enhancement of budget and human resources for TB prevention and care
Mobilisation of community health workers, civil society organisations and community-based organisations to strengthen response to both TB and COVID-19
Innovative approaches for training of health workers and health education of the community on TB and COVID-19 through digital platforms