
Sustainability of a Tuberculosis Screening Program at an Adult Education Center Through Community-Based Participatory Research
Author(s) -
Mark L. Wieland,
Julie A. Nigon,
Jennifer A. Weis,
Leah Espinda-Brandt,
Dawn Beck,
Irene G. Sia
Publication year - 2019
Publication title -
journal of public health management and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.771
H-Index - 50
eISSN - 1550-5022
pISSN - 1078-4659
DOI - 10.1097/phh.0000000000000851
Subject(s) - general partnership , staffing , public health , intervention (counseling) , community based participatory research , medicine , participatory action research , population , citizen journalism , environmental health , political science , nursing , economic growth , law , economics
The majority of active tuberculosis (TB) cases in the United States occur through reactivation of latent TB infection among foreign-born individuals. While screening of at-risk individuals through community partnerships is recommended, it is not commonly accomplished. A community-academic partnership developed a TB-screening intervention at an adult education center serving a large foreign-born population in Rochester, Minnesota. The intervention was cocreated with grant support by diverse stakeholders through a community-based participatory research partnership. The intervention was sustained beyond the grant interval through adaptation of staffing inputs, a robust partnership with sustained dialogue around TB and operational issues, and adaptation of governance through coownership of the intervention by the adult education center and the public health department. Eight years of data demonstrate that adult education centers may be effective venues for sustaining partnerships to address TB prevention among at-risk communities.