Clinic versus Hotspot Active Case Finding/TPT Strategy Evaluation for Tuberculosis (CHASE-TB)

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Clinic versus Hotspot Active Case Finding/TPT Strategy Evaluation for Tuberculosis (CHASE-TB)

People served

Adults 15 years and above, plus their TB contacts 5 years and above

Funder

United States National Institutes of Health (NIH)-funded cluster randomized trial (5R01HL138728-06; PIs: Kendall, Dowdy, Katamba)

Timeframe

November 2021 to November 2026

Status

Underway

Principal investigators

Key technological innovations have converged to make community-based campaigns to provide Active Case Finding (ACF) and TB Preventive Treatment (TPT) increasingly feasible over the past 5 years:

1. Novel mobile x-ray with artificial intelligence = human, can screen masses.
2. GeneXpert with results in ~2 hours, more accurate than microscopy, faster than culture
3. Novel regimens with shortened duration; low drug burden and cost
4. Venue based screening (VBS), future active case finding

Therefore, the overall goal of the study is to evaluate the comparative effectiveness and implementation of this combination intervention under two different approaches; a clinic-based strategy and a community “hotspot-focused” approach.

Policy Objectives
Research Objectives