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Effectiveness of healthcare workers and volunteers training on improving tuberculosis case detection: A systematic review and meta-analysis

Author

Listed:
  • Desalegne Amare
  • Fentie Ambaw Getahun
  • Endalkachew Worku Mengesha
  • Getenet Dessie
  • Melashu Balew Shiferaw
  • Tegenaw Asemamaw Dires
  • Kefyalew Addis Alene

Abstract

Introduction: Tuberculosis is the second most common infectious cause of death globally. Low TB case detection remains a major challenge to achieve the global End TB targets. This systematic review and meta-analysis aimed to determine whether training of health professionals and volunteers increase TB case detection. Methods: We performed a systematic review and meta-analysis of randomized control trials and non-randomized control trials reporting on the effectiveness of health professionals and volunteers training on TB case detection. We searched PubMed, SCOPUS, Cochrane Library, and reference sections of included articles from inception through to 15 February 2021, for studies published in English. Study screening, data extraction, and bias assessments were performed independently by two reviewers with third and fourth reviewers participating to resolve conflicts. The risk of bias was assessed using the Joanna Briggs Institute (JBI) checklist. Meta-analyses were performed with a random effect model to estimate the effectiveness of training intervention on TB case detection. Results: Of the 2015 unique records identified through our search strategies, 2007 records were excluded following the screening, leaving eight studies to be included in the final systematic review and meta-analysis. The results showed that providing training to health professionals and volunteers significantly increased TB case detection (RR: 1.60, 95% CI: 1.53, 1.66). There was not a significant degree of heterogeneity across the included study on the outcome of interest (I2 = 0.00%, p = 0.667). Conclusions: Providing training to healthcare workers and volunteers can increase TB case detection.

Suggested Citation

  • Desalegne Amare & Fentie Ambaw Getahun & Endalkachew Worku Mengesha & Getenet Dessie & Melashu Balew Shiferaw & Tegenaw Asemamaw Dires & Kefyalew Addis Alene, 2023. "Effectiveness of healthcare workers and volunteers training on improving tuberculosis case detection: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 18(3), pages 1-13, March.
    • Handle: RePEc:plo:pone00:0271825
    DOI: 10.1371/journal.pone.0271825
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    References listed on IDEAS

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    1. repec:plo:pmed00:1002119 is not listed on IDEAS
    2. Lönnroth, Knut & Jaramillo, Ernesto & Williams, Brian G. & Dye, Christopher & Raviglione, Mario, 2009. "Drivers of tuberculosis epidemics: The role of risk factors and social determinants," Social Science & Medicine, Elsevier, vol. 68(12), pages 2240-2246, June.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    1. Francesca Wanda Basile & Sedona Sweeney & Maninder Pal Singh & Else Margreet Bijker & Ted Cohen & Nicolas A Menzies & Anna Vassall & Pitchaya Indravudh, 2024. "Uncertainty in tuberculosis clinical decision-making: An umbrella review with systematic methods and thematic analysis," PLOS Global Public Health, Public Library of Science, vol. 4(7), pages 1-23, July.

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