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In 2016, the World Health Organization estimated that close to 40% of tuberculosis (TB) patients were ‘missing, meaning that approximately 4 million TB patients may not have been diagnosed and properly treated. To break the chain of transmission and end the TB epidemic, it is necessary to find, diagnose and treat all these missing patients.

The FTMP approach includes four implementation areas

  • Community Engement

    Engage the community in building on existing community systems for TB literacy, stigma reduction, patient referral and treatment support.
  • Matching Services to the Patients Pathways

    This should lead to better access and more efficient health services utilization.
  • Triage and Screening

    To increase case finding, countries need to introduce, improve or scale up triaging and screening to actively find TB patients.
  • Quality Prevention and Care

    Improve the quality of patient-centered prevention and care, by improving service delivery and access to care as well as the patient provider partnership.

Find and Treat all Missing Persons with TB Operational Guide

KNCV Tuberculosis Foundation has developed a global ‘Find and Treat all Missing Persons with TB’ (FTMP) strategy with an Operational Guide that defines a practical district level approach to find, diagnose and treat people with TB. After all, even within a country, disease burden and distribution, as well as health systems and community engagement may differ. Our strategy guides high TB-burden countries how to systematically assess the local situation and translate the outcomes of this analysis in affordable, effective and patient-centered strategies to increase access to high quality TB diagnosis and care. This way, KNCV builds country capacity to find the missing patients in a standardized and measurable way that takes into account the country context, along with the health needs of vulnerable patients and their families.

Download the guide

Results

Applying the FTMP Framework should lead to measurable results such as:
  • increased country FTMP capacity at the national and sub-national levels,
  • implemented FTMP plans at country and district level and increased access to quality diagnosis and care. Taken together, these activities should have the maximal impact at the district level on improved case notification and treatment outcomes

Finding the missing cases in Ethiopia

KNCV supports the use of GeneXpert for diagnosing TB among Persons Living with HIV (PLHIV) and children, and promotes the use of the test to screen key populations, including prisoners and healthcare workers.