{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:36:46Z","timestamp":1760143006150,"version":"build-2065373602"},"reference-count":65,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Expertise France","award":["19-SB0991","72044020FA00001"],"award-info":[{"award-number":["19-SB0991","72044020FA00001"]}]},{"DOI":"10.13039\/100000200","name":"USAID","doi-asserted-by":"publisher","award":["19-SB0991","72044020FA00001"],"award-info":[{"award-number":["19-SB0991","72044020FA00001"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>COVID-19 significantly disrupted tuberculosis (TB) services in Vietnam. In response, the National TB Program (NTP) integrated TB screening using mobile chest X-rays into COVID-19 vaccination events. This prospective cohort study evaluated the integrated model\u2019s yield, treatment outcomes, and costs. We further fitted regressions to identify risk factors and conduct interrupted time-series analyses in the study area, Vietnam\u2019s eight economic regions, and at the national level. At 115 events, we conducted 48,758 X-ray screens and detected 174 individuals with TB. We linked 89.7% to care, while 92.9% successfully completed treatment. The mean costs per person diagnosed with TB was $547. TB risk factors included male sex (aOR = 6.44, p &lt; 0.001), age of 45\u201359 years (aOR = 1.81, p = 0.006) and \u226560 years (aOR = 1.99, p = 0.002), a history of TB (aOR = 7.96, p &lt; 0.001), prior exposure to TB (aOR = 3.90, p = 0.001), and symptomatic presentation (aOR = 2.75, p &lt; 0.001). There was a significant decline in TB notifications during the Delta wave and significant increases immediately after lockdowns were lifted (IRR(\u03b31) = 5.00; 95%CI: (2.86, 8.73); p &lt; 0.001) with a continuous upward trend thereafter (IRR(\u03b32) = 1.39; 95%CI: (1.22, 1.38); p &lt; 0.001). Similar patterns were observed at the national level and in all regions but the northeast region. The NTP\u2019s swift actions and policy decisions ensured continuity of care and led to the rapid recovery of TB notifications, which may serve as blueprint for future pandemics.<\/jats:p>","DOI":"10.3390\/tropicalmed9010026","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T11:36:41Z","timestamp":1705923401000},"page":"26","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ensuring Continuity of Tuberculosis Care during Social Distancing through Integrated Active Case Finding at COVID-19 Vaccination Events in Vietnam: A Cohort Study"],"prefix":"10.3390","volume":"9","author":[{"given":"Luong Van","family":"Dinh","sequence":"first","affiliation":[{"name":"National Lung Hospital, Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5937-6286","authenticated-orcid":false,"given":"Luan Nguyen Quang","family":"Vo","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"},{"name":"Department of Global Health, WHO Collaboration Centre on Tuberculosis and Social Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja Maria Christine","family":"Wiemers","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoa Binh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"National Lung Hospital, Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoa Quynh","family":"Vu","sequence":"additional","affiliation":[{"name":"National Lung Hospital, Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huong Thi Lan","family":"Mo","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan Phuong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"IRD VN Social Enterprise Company Limited, Ho Chi Minh City 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nga Thi Thuy","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thuy Thi Thu","family":"Dong","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khoa Tu","family":"Tran","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thi Minh Ha","family":"Dang","sequence":"additional","affiliation":[{"name":"Pham Ngoc Thach Hospital, Ho Chi Minh City 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan Huu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pham Ngoc Thach Hospital, Ho Chi Minh City 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anh Thu","family":"Pham","sequence":"additional","affiliation":[{"name":"Hanoi Lung Hospital, Ha Noi 700000, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew James","family":"Codlin","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"},{"name":"Department of Global Health, WHO Collaboration Centre on Tuberculosis and Social Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0716-3342","authenticated-orcid":false,"given":"Rachel Jeanette","family":"Forse","sequence":"additional","affiliation":[{"name":"Friends for International Tuberculosis Relief (FIT), Ha Noi 100000, Vietnam"},{"name":"Department of Global Health, WHO Collaboration Centre on Tuberculosis and Social Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,22]]},"reference":[{"unstructured":"World Health Organization (2023). 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