Development of a Logic Model for Implementing Active Screening and Motivation of Presumptive TB Patients by Involving Nehru Yuva Kendra Sangathan (NYKS) Youth Club Members in India

Abstract

Introduction: India has setup an ambitious target of TB elimination by 2025. Early detection of TB is extremely
crucial. However, majority of the presumptive TB cases report late. This study develops an implementation
program logic model involving youth club members of existing Nehru Yuva Kendra Sangathan (NYKS), a
government of India enterprise, to provide sustainable and community-driven solution.
Methodology: Study used standard method for developing logic model. This included defining its purpose and
scope, and actions including identification of inputs, resources, activities, core interventions, and the expected
change viz. outputs and outcomes. The identification of these domains followed by model development, its
testing, refinement, and practical utilization.
Results: NYKS Logic model for implementing active screening and motivation of persons with TB suggestive
symptoms for timely detection of TB cases has been developed in this study. Different domains and corresponding
activities are presented within the ‘NYKS Logic Model’. Developed NYKS logic model meticulously outlined
(1) input, (2) process, (3) output, and (4) outcome domains and activities (1) Information, Education, and
Communication (IEC); (2) Screening; (3) Referral; and (4) Case Detection pertaining to domains. For all included
domains and activities, 36 indicators for monitoring were outlined meticulously.Discussion: NYKS Logic model serves as a visual representation of relationships between inputs, processes,
outputs, and outcomes domains, and their activities. This logic model encompasses four key activities, linking
resources, activities, and outcomes with a structured framework. IEC activities are primary step. Screening
systematically assesses individuals. Referral activities, directs presumptive TB cases to diagnosis. Finally, case
detection, works out as the conclusive stage.
Conclusion: NYKS logic model for TB screening has been developed.