In accordance with the applicable Order of the Ministry of Health of Ukraine dated 17.05.2008 No. 254 ”On Approving of the Guidance for Periodicity of Chest X-Ray Examinations for Certain Population Categories in Ukraine”, preventive X-ray examinations are made twice a year starting the age of 18. Screening examinations, pursuant to this Order, are carried out on a large scale and include those social groups which do not join any groups of TB high risk.
1. Only defined risk groups should be targeted for TB case-finding by fluorography, and the funds saved should be redirected towards other needs of the NTP. TB screening with fluorography is done extensively and includes population groups that are not at special risk of TB disease. The criteria for TB screening should be revised based on their cost-effectiveness and documented by quality-checked data. Financial incentives for TB screening should be carefully reconsidered.