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

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 detect...

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Bibliographic Details
Published in:PloS one 2023-03, Vol.18 (3), p.e0271825-e0271825
Main Authors: Amare, Desalegne, Getahun, Fentie Ambaw, Mengesha, Endalkachew Worku, Dessie, Getenet, Shiferaw, Melashu Balew, Dires, Tegenaw Asemamaw, Alene, Kefyalew Addis
Format: Article
Language:English
Subjects:
Bias
Biology and Life Sciences
Care and treatment
Conflict management
Data analysis
Diagnosis
Effectiveness
Health care
Health Personnel
Heterogeneity
Humans
Intervention
Medical diagnosis
Medical personnel
Medicine and Health Sciences
Meta-analysis
People and Places
Physical Sciences
Professionals
Research and Analysis Methods
Reviews
Systematic review
Training
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis, Pulmonary - diagnosis
Volunteers
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Summary: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. 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. 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). Providing training to healthcare workers and volunteers can increase TB case detection.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0271825