The Population Council/FRONTIERS program, in collaboration with the National Leprosy and Tuberculosis Programme, the Division of Reproductive Health, and the Provincial Health Management Team in Western Province, Kenya, received PEPFAR funding to improve screening for tuberculosis (TB) for pregnant women, including HIV-positive pregnant women. An intervention was tested to strengthen TB case detection to ensure that maternal and child health providers, in addition to providing antenatal care and PMTCT services, also screen and assess the client’s need for TB services and refer for further management. The effectiveness of this approach was demonstrated by the increased number of pregnant women who were detected to have TB and started on treatment. Recommendations for key stakeholders that emerge from this effort include holding further consultations with key actors to ensure institutionalization and standardization of TB screening in antenatal care, and scaling up TB screening in other service areas such as postnatal care with a focus on providing a comprehensive package of care for the mother and her infant.
Warren, Charlotte E. and Annie Mwangi. 2008. "Integrating tuberculosis case finding and treatment into focused antenatal care in Kenya," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health