Facilitators, barriers, and strategies for the implementation of peer-led tuberculosis active case finding among people who use drugs in Dar es Salaam, Tanzania
1. Strengthen mobile diagnostic services by increasing their frequency and coverage, enabling timely diagnosis and treatment. 2. Enhance the TB symptom screening tool by including a symptom-independent test, such as a chest X-ray, as the symptoms of illicit drug use can mask and mimic TB symptoms making diagnosis challenging. 3. Address stigma and misconceptions through peer-led education and awareness campaigns that utilize audio-visual materials tailored to PWUD. This will promote adherence to IPC measures and create a more supportive environment for TB ACF activities. 4. Use anti-TB with minimal interactions with opiates or shorter TB treatment regimens to prevent withdrawal symptoms and improve adherence.
Authors
- Samuel Likindikoki (ORCID: https://orcid.org/0000-0002-1642-3206)
- Jennifer M. Belus (ORCID: https://orcid.org/0000-0003-4091-4889)
- Linda Minja (ORCID: https://orcid.org/0000-0002-3627-6733)
- Doreen Pamba (ORCID: https://orcid.org/0000-0002-6822-5682)
- Jerry Hella (ORCID: https://orcid.org/0000-0003-2392-8592)
- Cassian Nyandindi
- Klaus Reither (ORCID: https://orcid.org/0000-0001-6195-8237)
- Lilian Tina Minja (ORCID: https://orcid.org/0000-0002-9597-0207)
- Jessie Mbwambo
- Kilian Mlalama
Institutions
- Ifakara Health Institute (TZ)
- Drug Enforcement Administration (US)
- Muhimbili University of Health and Allied Sciences (TZ)
- Swiss Tropical and Public Health Institute (CH)
- University of Basel (CH)
- University Hospital of Basel (CH)
- Muhimbili National Hospital (TZ)
- National Institute for Medical Research (TZ)
Publication Details
- Journal
- PLoS ONE
- Published
- 2025-05-28
- DOI
- https://doi.org/10.1371/journal.pone.0310069
- Primary Topic
- Tuberculosis Research and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institute for Medical Research