Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review

Tesfaye Dagne Weldemarium; Muluneh Getachew

doi:doi:10.11648/j.ajls.20190701.11

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Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review

Tesfaye Dagne Weldemarium, Muluneh Getachew

Published in American Journal of Life Sciences (Volume 7, Issue 1)

Received: 11 December 2018 Accepted: 24 January 2019 Published: 21 February 2019

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Abstract

Background: Health Extension Program was designed to serve the rural community of Ethiopia and has brought significant change in improving utilization of family planning, antenatal care, postnatal care, birth preparedness, initiating breast feeding immediately after birth and HIV testing. In relation to Tuberculosis (TB) prevention and control, TB patients believe that they learnt about TB from HEWs and some patients stated that they could not have been diagnosed without the work of HEWs. HEWs focus on Education of the community, Identification of suspects, referral of suspects to health Facilities, Support for adherence to treatment, retrieval of absentees and contact tracing. Objective: The objective of this review was to assess the role of Ethiopian health extension workers in prevention and control of TB. Method: Computerized systematic search was conducted through PubMed, Google Scholar, and Science direct databases. After reviewing for relevance of articles based on title, abstract and eliminating for redundancies five articles were included for this review. Studies presented to the original article, studies that examine contribution of HEWs to TB prevention, studies conducted in Ethiopia; studies written in English were included in the review. Results: Large number of people with TB symptom which is the base for TB prevention and elimination strategy was identified by the HEWs. The health extension workers identified not only new patients but also the retreatment (defaulters) which are the major contributors to (multi drug resistant TB (MDR-TB). From the identified TB suspects by HEWs, majority of them were found to be positive for the disease. Health extension worker remain the health worker who identify TB suspects and refer patient to health facilities. They were also the source of community health educator in relation to TB.

Published in	American Journal of Life Sciences (Volume 7, Issue 1)
DOI	10.11648/j.ajls.20190701.11
Page(s)	1-4
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Health Extension Workers, Tuberculosis, Ethiopia

References

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[4]	Datiko DG, Lindtjørn B. Health extension workers improve tuberculosis case detection and treatment success in southern Ethiopia: A community randomized trial. PLoS One. 2009;4 (5).
[5]	Yassin MA, Datiko DG, Tulloch O, Markos P, Aschalew M, Shargie EB, et al. Innovative Community-Based Approaches Doubled Tuberculosis Case Notification and Improve Treatment Outcome in Southern Ethiopia. PLoS One. 2013; 8 (5): 1–8.
[6]	Kasaeva T, Floyd K, Anderson L, Baddeley A. Global tuberculosis report 2018. Geneva: World Health Organization; 2018. [Internet]. WHO Publication. 2018. 174 p. Available from: http://apps.who.int/iris.
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[11]	Tiemersma EW, Collins D, Hof S Van Den. Summary report Costs faced by (multidrug resistant) tuberculosis patients during diagnosis and treatment : report from a pilot study in Ethiopia , Indonesia and Kazakhstan. 2014; February(February 2014): 1–7.
[12]	Suganthi P, Chadha VK, Ahmed J, Umadevi G, Kumar P, Srivastava R, et al. Health seeking and knowledge about tuberculosis among persons with pulmonary symptoms and tuberculosis cases in Bangalore slums. Int J Tuberc Lung Dis. 2008; 12 (11): 1268–73.
[13]	de Cuevas RMA, Lawson L, Al-Sonboli N, Al-Aghbari N, Arbide I, Sherchand JB, et al. Patients direct costs to undergo TB diagnosis. Infect Dis Poverty [Internet]. 2016; 5 (1). Available from: http://dx.doi.org/10.1186/s40249-016-0117-x.
[14]	FMOH. Federal ministry of health Ethiopia TB,Leprosy,HIV prevention and control programme. 2008.
[15]	Datiko DG, Yassin MA, Theobald SJ, Blok L, Suvanand S, Creswell J, et al. Health extension workers improve tuberculosis case finding and treatment outcome in Ethiopia: a large-scale implementation study. BMJ Glob Heal [Internet]. 2017; 2 (4): e000390. Available from: http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2017-000390.
[16]	Datiko DG, Lindtjørn B. Health extension workers improve tuberculosis case detection and treatment success in southern Ethiopia: A community randomized trial. PLoS One. 2009; 4 (5).
[17]	Getnet F, Hashi A, Mohamud S, Mowlid H, Klinkenberg E. Low contribution of health extension workers in identification of persons with presumptive pulmonary tuberculosis in Ethiopian Somali Region pastoralists. BMC Health Serv Res. 2017; 17 (1): 1–9.
[18]	Fekadu L, Hanson C, Osberg M, Makayova J, Mingkwan P, Chin D. Increasing Access to Tuberculosis Services in Ethiopia: Findings from a Patient-Pathway Analysis. J Infect Dis. 2017; 216 (Suppl 7): S696–701.
[19]	Yassin MA, Datiko DG, Tulloch O, Markos P, Aschalew M, Shargie EB, et al. Innovative Community-Based Approaches Doubled Tuberculosis Case Notification and Improve Treatment Outcome in Southern Ethiopia. PLoS One. 2013; 8 (5): 1–8.

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APA Style

Tesfaye Dagne Weldemarium, Muluneh Getachew. (2019). Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. American Journal of Life Sciences, 7(1), 1-4. https://doi.org/10.11648/j.ajls.20190701.11

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ACS Style

Tesfaye Dagne Weldemarium; Muluneh Getachew. Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. Am. J. Life Sci. 2019, 7(1), 1-4. doi: 10.11648/j.ajls.20190701.11

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AMA Style

Tesfaye Dagne Weldemarium, Muluneh Getachew. Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. Am J Life Sci. 2019;7(1):1-4. doi: 10.11648/j.ajls.20190701.11

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@article{10.11648/j.ajls.20190701.11,
  author = {Tesfaye Dagne Weldemarium and Muluneh Getachew},
  title = {Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review},
  journal = {American Journal of Life Sciences},
  volume = {7},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ajls.20190701.11},
  url = {https://doi.org/10.11648/j.ajls.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajls.20190701.11},
  abstract = {Background: Health Extension Program was designed to serve the rural community of Ethiopia and has brought significant change in improving utilization of family planning, antenatal care, postnatal care, birth preparedness, initiating breast feeding immediately after birth and HIV testing. In relation to Tuberculosis (TB) prevention and control, TB patients believe that they learnt about TB from HEWs and some patients stated that they could not have been diagnosed without the work of HEWs. HEWs focus on Education of the community, Identification of suspects, referral of suspects to health Facilities, Support for adherence to treatment, retrieval of absentees and contact tracing. Objective: The objective of this review was to assess the role of Ethiopian health extension workers in prevention and control of TB. Method: Computerized systematic search was conducted through PubMed, Google Scholar, and Science direct databases. After reviewing for relevance of articles based on title, abstract and eliminating for redundancies five articles were included for this review. Studies presented to the original article, studies that examine contribution of HEWs to TB prevention, studies conducted in Ethiopia; studies written in English were included in the review. Results: Large number of people with TB symptom which is the base for TB prevention and elimination strategy was identified by the HEWs. The health extension workers identified not only new patients but also the retreatment (defaulters) which are the major contributors to (multi drug resistant TB (MDR-TB). From the identified TB suspects by HEWs, majority of them were found to be positive for the disease. Health extension worker remain the health worker who identify TB suspects and refer patient to health facilities. They were also the source of community health educator in relation to TB.},
 year = {2019}
}

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TY  - JOUR
T1  - Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review
AU  - Tesfaye Dagne Weldemarium
AU  - Muluneh Getachew
Y1  - 2019/02/21
PY  - 2019
N1  - https://doi.org/10.11648/j.ajls.20190701.11
DO  - 10.11648/j.ajls.20190701.11
T2  - American Journal of Life Sciences
JF  - American Journal of Life Sciences
JO  - American Journal of Life Sciences
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2328-5737
UR  - https://doi.org/10.11648/j.ajls.20190701.11
AB  - Background: Health Extension Program was designed to serve the rural community of Ethiopia and has brought significant change in improving utilization of family planning, antenatal care, postnatal care, birth preparedness, initiating breast feeding immediately after birth and HIV testing. In relation to Tuberculosis (TB) prevention and control, TB patients believe that they learnt about TB from HEWs and some patients stated that they could not have been diagnosed without the work of HEWs. HEWs focus on Education of the community, Identification of suspects, referral of suspects to health Facilities, Support for adherence to treatment, retrieval of absentees and contact tracing. Objective: The objective of this review was to assess the role of Ethiopian health extension workers in prevention and control of TB. Method: Computerized systematic search was conducted through PubMed, Google Scholar, and Science direct databases. After reviewing for relevance of articles based on title, abstract and eliminating for redundancies five articles were included for this review. Studies presented to the original article, studies that examine contribution of HEWs to TB prevention, studies conducted in Ethiopia; studies written in English were included in the review. Results: Large number of people with TB symptom which is the base for TB prevention and elimination strategy was identified by the HEWs. The health extension workers identified not only new patients but also the retreatment (defaulters) which are the major contributors to (multi drug resistant TB (MDR-TB). From the identified TB suspects by HEWs, majority of them were found to be positive for the disease. Health extension worker remain the health worker who identify TB suspects and refer patient to health facilities. They were also the source of community health educator in relation to TB.
VL  - 7
IS  - 1
ER  -

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Author Information

Tesfaye Dagne Weldemarium

Department of Health Economics, Management and Policy, College of Public Health, Jimma University, Jimma, Ethiopia
Muluneh Getachew

Department of Health Economics, Management and Policy, College of Public Health, Jimma University, Jimma, Ethiopia

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APA Style

Tesfaye Dagne Weldemarium, Muluneh Getachew. (2019). Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. American Journal of Life Sciences, 7(1), 1-4. https://doi.org/10.11648/j.ajls.20190701.11

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ACS Style

Tesfaye Dagne Weldemarium; Muluneh Getachew. Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. Am. J. Life Sci. 2019, 7(1), 1-4. doi: 10.11648/j.ajls.20190701.11

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AMA Style

Tesfaye Dagne Weldemarium, Muluneh Getachew. Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review. Am J Life Sci. 2019;7(1):1-4. doi: 10.11648/j.ajls.20190701.11

Copy | Download

@article{10.11648/j.ajls.20190701.11,
  author = {Tesfaye Dagne Weldemarium and Muluneh Getachew},
  title = {Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review},
  journal = {American Journal of Life Sciences},
  volume = {7},
  number = {1},
  pages = {1-4},
  doi = {10.11648/j.ajls.20190701.11},
  url = {https://doi.org/10.11648/j.ajls.20190701.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajls.20190701.11},
  abstract = {Background: Health Extension Program was designed to serve the rural community of Ethiopia and has brought significant change in improving utilization of family planning, antenatal care, postnatal care, birth preparedness, initiating breast feeding immediately after birth and HIV testing. In relation to Tuberculosis (TB) prevention and control, TB patients believe that they learnt about TB from HEWs and some patients stated that they could not have been diagnosed without the work of HEWs. HEWs focus on Education of the community, Identification of suspects, referral of suspects to health Facilities, Support for adherence to treatment, retrieval of absentees and contact tracing. Objective: The objective of this review was to assess the role of Ethiopian health extension workers in prevention and control of TB. Method: Computerized systematic search was conducted through PubMed, Google Scholar, and Science direct databases. After reviewing for relevance of articles based on title, abstract and eliminating for redundancies five articles were included for this review. Studies presented to the original article, studies that examine contribution of HEWs to TB prevention, studies conducted in Ethiopia; studies written in English were included in the review. Results: Large number of people with TB symptom which is the base for TB prevention and elimination strategy was identified by the HEWs. The health extension workers identified not only new patients but also the retreatment (defaulters) which are the major contributors to (multi drug resistant TB (MDR-TB). From the identified TB suspects by HEWs, majority of them were found to be positive for the disease. Health extension worker remain the health worker who identify TB suspects and refer patient to health facilities. They were also the source of community health educator in relation to TB.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Role of Health Extension Worker in Tuberculosis Prevention and Control in Ethiopia: Systematic Review
AU  - Tesfaye Dagne Weldemarium
AU  - Muluneh Getachew
Y1  - 2019/02/21
PY  - 2019
N1  - https://doi.org/10.11648/j.ajls.20190701.11
DO  - 10.11648/j.ajls.20190701.11
T2  - American Journal of Life Sciences
JF  - American Journal of Life Sciences
JO  - American Journal of Life Sciences
SP  - 1
EP  - 4
PB  - Science Publishing Group
SN  - 2328-5737
UR  - https://doi.org/10.11648/j.ajls.20190701.11
AB  - Background: Health Extension Program was designed to serve the rural community of Ethiopia and has brought significant change in improving utilization of family planning, antenatal care, postnatal care, birth preparedness, initiating breast feeding immediately after birth and HIV testing. In relation to Tuberculosis (TB) prevention and control, TB patients believe that they learnt about TB from HEWs and some patients stated that they could not have been diagnosed without the work of HEWs. HEWs focus on Education of the community, Identification of suspects, referral of suspects to health Facilities, Support for adherence to treatment, retrieval of absentees and contact tracing. Objective: The objective of this review was to assess the role of Ethiopian health extension workers in prevention and control of TB. Method: Computerized systematic search was conducted through PubMed, Google Scholar, and Science direct databases. After reviewing for relevance of articles based on title, abstract and eliminating for redundancies five articles were included for this review. Studies presented to the original article, studies that examine contribution of HEWs to TB prevention, studies conducted in Ethiopia; studies written in English were included in the review. Results: Large number of people with TB symptom which is the base for TB prevention and elimination strategy was identified by the HEWs. The health extension workers identified not only new patients but also the retreatment (defaulters) which are the major contributors to (multi drug resistant TB (MDR-TB). From the identified TB suspects by HEWs, majority of them were found to be positive for the disease. Health extension worker remain the health worker who identify TB suspects and refer patient to health facilities. They were also the source of community health educator in relation to TB.
VL  - 7
IS  - 1
ER  -

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