Indonesia – TB prevalence in correctional centers with CAD4TB

Location: Indonesia

Introduction

Incarcerated individuals represent a high-risk group for TB, with significant detection gaps. This study aims to assess the prevalence of TB among inmates in Indonesia using active TB case-finding as an integral part of the national TB program.

Intervention

• From July to November 2023, a total of 206,345 inmates across 376 prisons in 33 provinces underwent a comprehensive TB screening protocol that integrated symptom screenings, chest X-rays with CAD4TB, and Xpert testing.
• Those exhibiting TB symptoms, a CAD4TB score greater than 40, or other risk factors underwent Xpert testing. Individuals diagnosed with bacteriologically confirmed or clinically diagnosed TB received anti-TB treatment.

Conclusion

• TB prevalence in Indonesian prisons surpasses WHO South-East Asia region estimates.
• Regular comprehensive TB screening with X-rays and Xpert testing upon admission and throughout detention is crucial for early detection and ending TB in this vulnerable population.

REFERENCE: Hilal, M. et al (2024, November 12-15). Prevalence of TB among prisoners in incarcerated populations in Indonesia [Presentation]. The Union World Conference on Lung Health, Bali, Indonesia.