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Under the USAID funded FRONTIERS program, the Population Council conducted a study in six health facilities in Western Kenya that demonstrated that screening for TB within an antenatal care (ANC) setting is feasible and acceptable among the service providers. However, a major challenge remains: although TB detection is encouraged among ANC clients within the maternal and child health clinics in the country, providers in these settings fail to appreciate the need for a continuum of care from pregnancy through to the postnatal period. In order to address this gap, the APHIA II Operations Research Project developed and tested an intervention to improve TB screening, case detection, treatment, and care among postnatal women. The findings demonstrate that while it is feasible to use postnatal care services as a platform for TB screening and case detection, the actual number of cases detected was extremely low, even though the facilities were located in areas expected to have high prevalence. It might be important for program managers and policymakers to decide whether routine TB screening in RH services is justifiable, given the very low cases of TB detected.






AIDS, Population, and Health Integrated Assistance (APHIA II) Operations Research Project