TABLE 1

Priority for rapid restoration of tuberculosis (TB) care and prevention during the coronavirus disease 2019 (COVID-19) pandemic

DomainsActions of priority
Case finding
  • Development of new standards of clinical consultations

  • Establishment of affordable online consultations for individuals with presumptive TB

  • Strengthening of specimen transportation using innovative approaches

  • Development of algorithm for dual TB and COVID-19 testing among individuals with respiratory symptoms

  • Application of digital platform and connectivity solutions for rapid delivery of test results

  • Strengthening of contact examinations during community quarantine for detection of active TB and management of latent TB infection

Treatment
  • Innovative approach for enrolment of bacteriologically confirmed TB cases on anti-TB treatment to prevent initial loss to follow-up

  • Strengthening of community-based TB treatment services to reduce health facility visits and prevent interruption of treatment

  • Scaling-up of digital adherence interventions, such as video directly observed therapy (VOT), short message services and innovative use of mobile applications

  • Establishment of digital mechanisms for the management of adverse reactions, especially for patients with rifampicin-resistant TB

Resources
  • Multi-sectorial approaches for restoration and enhancement of budget and human resources for TB prevention and care

  • Mobilisation of community health workers, civil society organisations and community-based organisations to strengthen response to both TB and COVID-19

  • Innovative approaches for training of health workers and health education of the community on TB and COVID-19 through digital platforms