{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:31:29Z","timestamp":1787729489116,"version":"build-2784847793"},"reference-count":15,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"accepted":{"date-parts":[[2025,6,19]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>In the ongoing India\u2019s first state-wide differentiated TB care programme in Tamil Nadu (TN-KET), adults diagnosed with drug-sensitive TB at public facilities undergo triage. The adults with severe undernutrition, respiratory insufficiency, or poor performance status are prioritised for comprehensive assessment and inpatient care. Although the programme met triage coverage targets, 11 districts failed to achieve the goal of a 30% reduction in TB death rates. This study compares aggregate triage coverage with actual coverage and evaluates the quality of programme-reported triaging data against an investigator-led audit (repeat assessments in the field) within a few weeks of diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>An ecological study using routine programme data (April 2022\u2013June 2024) was conducted for the first objective, and a cross-sectional analytical study with primary and secondary data (August 2024\u2013February 2025) was performed for the triage audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Among 48,905 adults with drug-sensitive TB notified, the true triage coverage was 84% against the reported triage coverage of 113%. The triage audit showed 35.7% were triage-positive, compared with 27.6% through TB SeWA (Severe TB Web Application). The mean weight and body mass index from the audit were 0.82 kg and 0.63 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      lower than TB SeWA data, and oedema was unassessed in 65% of the adults with TB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The districts need to address inadequate triage coverage and suboptimal quality of triaging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/pha.25.0015","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T04:31:31Z","timestamp":1756960291000},"page":"118-123","source":"Crossref","is-referenced-by-count":2,"title":["Role of triage audit in an ongoing differentiated TB care initiative to reduce deaths in Tamil Nadu, India"],"prefix":"10.5588","volume":"15","author":[{"given":"A.","family":"Jeyakumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kalaiselvi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Vijayaprabha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Kabir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"Melfha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Bhatnagar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Srinivasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Gayathri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Boopathi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.S.","family":"Vaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Rajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Shanmugasundaram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Frederick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.D.","family":"Shewade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"2026011409302714000_15.3.118.1","unstructured":"World Health Organization . Global Tuberculosis Report 2024, Geneva, Switzerland: WHO, 2024."},{"issue":"8","key":"2026011409302714000_15.3.118.2","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1093\/cid\/ciac915","article-title":"Impact of undernutrition on tuberculosis treatment outcomes in India: a multicenter, prospective, cohort analysis","volume":"76","author":"Sinha","year":"2023","journal-title":"Clin Infect Dis"},{"issue":"2","key":"2026011409302714000_15.3.118.3","first-page":"94","article-title":"Triaging for severe illness amongst adults with tuberculosis followed by referral and inpatient care: a statewide pilot in Tamil Nadu, India","volume":"1","author":"Shewade","year":"2024","journal-title":"Prev Med Res Rev"},{"issue":"10443","key":"2026011409302714000_15.3.118.4","doi-asserted-by":"crossref","first-page":"2467","DOI":"10.1016\/S0140-6736(24)00489-6","article-title":"Tuberculosis: a biosocial problem that requires biosocial solutions","volume":"403","author":"Bhargava","year":"2024","journal-title":"The Lancet"},{"key":"2026011409302714000_15.3.118.5","unstructured":"Central Tuberculosis Division Ministry of Health and Family Welfare India . National TB Elimination Programme India TB Report 2024. New Delhi, India: Central TB Division."},{"key":"2026011409302714000_15.3.118.6","doi-asserted-by":"crossref","first-page":"100155","DOI":"10.1016\/j.jctube.2020.100155","article-title":"Tuberculosis deaths are predictable and preventable: comprehensive assessment and clinical care is the key","volume":"19","author":"Bhargava","year":"2020","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"key":"2026011409302714000_15.3.118.7","unstructured":"Shewade H . Standard operating procedure for Tamil Nadu Kasanoi Erappila Thittam (TN-KET). Figshare. 2024:1\u20133. https:\/\/doi.org\/10.6084\/m9.figshare.24564403"},{"key":"2026011409302714000_15.3.118.8","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.23.0297"},{"key":"2026011409302714000_15.3.118.9","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-22-00505"},{"issue":"12","key":"2026011409302714000_15.3.118.10","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1093\/trstmh\/trac060","article-title":"Screening adults with tuberculosis for severe illness at notification: programme experience from Gujarat, India","volume":"116","author":"Patel","year":"2022","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2026011409302714000_15.3.118.11","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-21-00736"},{"issue":"2","key":"2026011409302714000_15.3.118.12","doi-asserted-by":"crossref","first-page":"102","DOI":"10.3390\/tropicalmed6020102","article-title":"Screening people with tuberculosis for high risk of severe illness at notification: programmatic experience from Karnataka, India","volume":"6","author":"Shewade","year":"2021","journal-title":"Trop Med Infect Dis"},{"key":"2026011409302714000_15.3.118.13","doi-asserted-by":"publisher","DOI":"10.5588\/pha.23.0051"},{"key":"2026011409302714000_15.3.118.14","doi-asserted-by":"publisher","DOI":"10.4103\/ijcm.ijcm_369_24"},{"issue":"8","key":"2026011409302714000_15.3.118.15","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1093\/cid\/ciac915","article-title":"Impact of undernutrition on tuberculosis treatment outcomes in India: a multicenter, prospective, cohort analysis","volume":"76","author":"Sinha","year":"2023","journal-title":"Clin Infect Diseases"}],"container-title":["Public Health Action"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.5588\/pha.25.0015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:30:33Z","timestamp":1768411833000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.theunion.org\/lookup\/doi\/10.5588\/pha.25.0015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,9,1]]},"published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.5588\/pha.25.0015"],"URL":"https:\/\/doi.org\/10.5588\/pha.25.0015","relation":{},"ISSN":["2220-8372"],"issn-type":[{"value":"2220-8372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]}}}