Systematic review of barriers to and enablers of tuberculosis diagnosis, notification, and intervention for designing customised intervention package to minimise 'missing millions' in tribal communities of India.

ABSTRACT:

Background

Tribal communities in India experience a very high burden of tuberculosis (TB), estimated at 7030 per million. The diagnosis and notification gaps are substantial, partly due to the geographical remoteness of these populations. Within an overarching study to design an intervention for finding the 'missing millions' among tribal communities, we conducted a systematic review to identify the barriers and enablers of tuberculosis diagnosis and notification, with the aim of developing a contextually relevant intervention.

Methods

We searched PubMed, Embase and Web of Science using terms related to TB, diagnosis, notification, barriers, enablers, and interventions. Studies from lower- and lower-middle-income countries (LICs and LMICs) published between 2000-2023 were in

SUBMITTER: Satav A 

PROVIDER: S-EPMC12616580 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature