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Active Case Finding
Learning ObjectivesDiscuss the active approach to case finding as a population level approach, with the activity outside the health facility.
Discuss advantages and disadvantages of ACF.
Discuss the different populations where active case-finding may be applied.
Systematic screening of all individuals of a defined population is known as active case finding. It is applied outside of health facilities at the community level by the health system.
Objective of ACF is to:
- identify cases early, initiate prompt treatment, reduce risk of poor treatment outcomes and reduce risk of further transmission of TB
- to provide access to diagnosis services to populations that would have been otherwise unreached
It is effort intensive and is recommended only in population groups where there is estimated high case load. In NTEP, ACF is recommended only to be performed in Key / vulnerable population.
ACF can also be clubbed with suitable ACSM campaigns to create awareness about the signs and symptoms and about TB in the target population/ community. It can also be combined with other health activities/ campaigns (such as Pulse Polio/ Leprosy screening/ population based screening for NCDs) for increased efficiency.
Resources
- Training Modules for Programme Managers and Medical Officers.
- Active TB Case Finding, Guidance Document.
- WHO recommendations for Systematic Screening for Active Tuberculosis
Assessment
| Question | Answer 1 | Answer 2 | Answer 3 | Answer 4 | Correct answer | Correct explanation | Page id | Part of Pre-test | Part of Post-test |
| Which of the following is not a primary objective of ACF? | Increase TB notification | Early identification of cases. | Reduce the risk of transmission of TB. | Reduce the risk of poor treatment outcomes. | 1 | Notification is not a primary objective of ACF. | Yes | Yes |
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