Kiosk: An Innovative Client Centric Approach to Tuberculosis Prevention and Care

Kiosk is a client centric drop-in centre for TB information and services established in urban and peri-urban (slum) settings to provide outreach services under project Axshya. The main objective of the study was to demonstrate the efficacy and feasibility of scaling-up of the model to provide TB services. The assessment was carried out with the help of project recording and reporting formats used to document the information and services provided in the Kiosk from April 2016 to March 2017. The results from retrospective data analysis for services provided at 20 kiosks benefited 16,871 clients; of these 11,252 (66.7%), 1339 (7.9%), 848 (5%), 2911 (17.2%), (1.4%), 273 (1.6%) benefited with TB information, Flexi-DOT, sputum-collection-transportation (SCT), counselling, and domiciliary care respectively. Through active case finding (ACF); 126,893 households were visited and 3593 presumptive-TB-patients received SCT services. A total of 329 TB patients were identified and linked to treatment services of national TB programme. “Kiosk” as a client centric approach would be a novel concept to ensure TB information, TB related services and contribute to ongoing efforts of TB case finding.

[1]  Janmejaya Samal.  A review of literature on delays in seeking care for tuberculosis in different Indian states , 2017 .

[2]  S. Chadha,et al.  Serial survey shows community intervention may contribute to increase in knowledge of Tuberculosis in 30 districts of India , 2016, BMC Public Health.

[3]  Janmejaya Samal.  Health Seeking Behaviour among Tuberculosis Patients in India: A Systematic Review. , 2016, Journal of clinical and diagnostic research : JCDR.

[4]  S. Swaminathan,et al.  Household Contact Screening and Yield of Tuberculosis Cases—A Clinic Based Study in Chennai, South India , 2016, PloS one.

[5]  S. Satyanarayana,et al.  Lessons learnt from active tuberculosis case finding in an urban slum setting of Agra city, India. , 2016, The Indian journal of tuberculosis.

[6]  S. Satyanarayana,et al.  Experience of active tuberculosis case finding in nearly 5 million households in India. , 2016, Public health action.

[7]  Vinod Kumar,et al.  Household symptomatic contact screening of newly diagnosed sputum smears positive tuberculosis patients - An effective case detection tool , 2016, Lung India : official organ of Indian Chest Society.

[8]  Y. Li,et al.  Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis , 2016, PloS one.

[9]  Megan S. Orlando,et al.  Public Health Information Delivery in the Emergency Department: Analysis of a Kiosk-Based Program. , 2016, The Journal of emergency medicine.

[10]  Z. Udwadia,et al.  Tuberculosis in India , 2015, BMJ : British Medical Journal.

[11]  J. Thakur,et al.  Prevalence of Pulmonary Tuberculosis among Adults in a North Indian District , 2015, PloS one.

[12]  L. Gabbasova,et al.  Global tuberculosis report (2014) , 2014 .

[13]  Ashish Joshi,et al.  Using Portable Health Information Kiosk to assess chronic disease burden in remote settings. , 2013, Rural and remote health.

[14]  P. Risica,et al.  Computer Kiosks to Deliver Medication Information in the Pharmacy , 2011 .

[15]  A. Harries,et al.  From Where Are Tuberculosis Patients Accessing Treatment in India? Results from a Cross-Sectional Community Based Survey of 30 Districts , 2011, PloS one.

[16]  C. Ritter,et al.  Underserved patients' choice of kiosk-based preventive health information. , 2010, Family medicine.

[17]  Marilyn G. Teolis,et al.  A MedlinePlus® Kiosk Promoting Health Literacy , 2010, Journal of consumer health on the Internet.

[18]  J. Jones,et al.  “Beyond workforce”: a systemic solution for health service provision in small rural and remote communities , 2008, The Medical journal of Australia.

[19]  Matthew W Kreuter,et al.  Use of Computer Kiosks for Breast Cancer Education in Five Community Settings , 2006, Health education & behavior : the official publication of the Society for Public Health Education.

[20]  Isaac S. Kohane,et al.  The Asthma Kiosk: A Patient-centered Technology for Collaborative Decision Support in the Emergency Department , 2004 .

[21]  John Wiggers,et al.  HEALTH C.H.I.P.s: opportunistic community use of computerized health information programs. , 2004, Health education research.

[22]  Peter Williams,et al.  Non use of health information kiosks examined in an information needs context. , 2003, Health information and libraries journal.