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Bidirectional screening is a method to identify cases in diseases which have predisposition to each other or has a significant influence on each other. For example TB and HIV, where having HIV increases risk of developing TB and cases with TB would have poor outcomes if co-infected with HIV.

Screening for TB is done through four-symptoms complex based screening or through Chest X-ray. Screening for the linked disease is carried out as per the policies of the corresponding health program.

Bi-directional screening policies are implemented by various disease control programs. For example, with NTEP the following disease prevention and cure efforts implement a bidirectional screening policy:

  1. HIV through NACO 
  2. COVID19 
  3. Diabetes Mellitus (DM) through NPCDCS
  4. Tobacco  through National Tobacco Control Program

Both programs monitor bidirectional screening, referral and testing as per their own policies.

Resources

  1. National Strategic Plan for TB Elimination.

Assessment

Question Answer 1 Answer 2 Answer 3 Answer 4 Correct answer Correct explanation Page id Part of Pre-test Part of Post-test
Bidirectional screening for TB is not done in which of the following conditions? Diabetes Tobacco abuse/ addiction Pregnancy COVID-19 3 Although pregnant mothers may be screened for TB as a part of intensified case finding, all TB cases are not actively/ routinely screened for pregnancy.   Yes Yes

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