African Journal of Ophthalmology | 11 July 2005
Evaluation of Community-led Tuberculosis Surveillance Programmes in Nairobi's Slums: A Systematic Literature Review
K, i, n, y, a, n, j, u, i, K, a, r, a, n, j, a, ,, O, m, o, n, d, i, N, d, e, r, i, t, u, ,, M, u, g, w, e, N, y, a, g, a
Abstract
Community-led tuberculosis surveillance programmes have been implemented in Nairobi's slums to improve early detection and treatment outcomes. A comprehensive search strategy was employed using electronic databases including PubMed, Cochrane Library, and Google Scholar. Inclusion criteria were studies published in English between and that evaluated community-led tuberculosis surveillance programmes in Nairobi’s slums. Community-led programmes showed a 15% higher detection rate for active tuberculosis cases compared to traditional methods (95% CI: [10%, 20%]). The review underscores the potential of community engagement in enhancing tuberculosis surveillance and treatment in resource-limited settings. Future research should focus on scaling up successful models, improving access to diagnosis tools, and strengthening patient adherence interventions. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.