{"doi":"10.7189/jogh.15.04024","title":"Age- and sex-specific care cascades to detect gaps in the care of children with tuberculosis in Bangladesh: a cohort study","abstract":"Background: Programmatic interventions to increase the detection of children with tuberculosis (TB) are rarely evaluated to understand age- and sex-specific completion rates. We applied modified TB screening and treatment cascade frameworks to assess indicators of effective implementation by age and sex of a TB screening program for children (zero to 14 years) in Bangladesh. Methods: tests. Results: In total, we screened 552 182 males and 461 419 females for TB. 2.8% of males and 2.6% of females screened positive (P < 0.001). 74.2% of males and 73.9% of females underwent appropriate evaluation (P = 0.560). 10.3% of males and 11.5% of females were diagnosed with TB (P = 0.008). 100% of children initiated treatment, and 97.6% of males and 97.1% of females achieved a successful treatment outcome (P = 0.428). The percent of children screening positive on verbal screen, who were clinically evaluated for TB, and who were diagnosed with TB generally increased with age, with some variability throughout (ranges: 1.2-9.1%, 59.8-88.5%, 6.5-21.9%, respectively). Conclusions: The largest gap observed for both sexes and among all ages was children who were not appropriately evaluated for TB despite screening positive. In our research, we highlight the value of identifying gaps in paediatric TB care to inform innovative, age- and sex-tailored interventions to improve future care in children.","journal":"Journal of Global Health","year":2025,"id":531861,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8859,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1050571,"name":"Amanda Brumwell","orcid":"0000-0002-5766-7012","position":1,"is_corresponding":false},{"id":1412634,"name":"Md Mahfuzur Rahman","orcid":"0000-0002-5366-018X","position":2,"is_corresponding":false},{"id":1412635,"name":"Farzana Hossain","orcid":"0000-0001-7144-4299","position":3,"is_corresponding":false},{"id":1413107,"name":"Suchitra Kulkarni","orcid":null,"position":4,"is_corresponding":false},{"id":105798,"name":"Amyn A. Malik","orcid":"0000-0003-4875-9916","position":5,"is_corresponding":false},{"id":641806,"name":"Jeffrey I. Campbell","orcid":"0000-0001-7230-6285","position":6,"is_corresponding":false},{"id":392983,"name":"Brittney van de Water","orcid":"0000-0002-0476-6295","position":7,"is_corresponding":false},{"id":1413108,"name":"Md Kamruzzaman Kamul","orcid":null,"position":8,"is_corresponding":false},{"id":1412636,"name":"Md. Toufiq Rahman","orcid":"0000-0003-3230-7990","position":9,"is_corresponding":false},{"id":387418,"name":"Hamidah Hussain","orcid":"0000-0002-6585-9815","position":10,"is_corresponding":false},{"id":497454,"name":"Jacob Creswell","orcid":"0000-0002-4885-940X","position":11,"is_corresponding":false},{"id":1412637,"name":"Tapash Roy","orcid":"0000-0002-8133-2634","position":12,"is_corresponding":false},{"id":1413109,"name":"Meredith B Brooks","orcid":null,"position":13,"is_corresponding":false},{"id":1412633,"name":"Daniel Ramirez","orcid":"0000-0002-9870-0982","position":0,"is_corresponding":true}],"reference_count":40,"raw_metadata":null,"created_at":"2026-07-19T02:51:18.928280Z","pmid":"39849939","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}