This study presents a KIGSAW-inspired framework reimagined for health education to advance TB elimination in Thailand’s low-resource prison system. By recasting situational analysis, problem grouping, goal setting, strategy development, evaluation, and leadership through an education-centered lens, the model supports scalable, data-driven TB prevention, active case finding, treatment, and continuity of care for inmates and after release, with a strong emphasis on equity and collaborative action. The framework integrates diverse learning modalities—classroom instruction, documentary materials, and digital education—alongside capacity-building efforts (for example, prisoner health volunteers) to boost inmates’ health literacy and empower self-management. Grounded in case studies, evaluations, and emerging practices, it identifies key enablers: proactive stakeholder engagement (prison authorities and healthcare staff), sustainable financing and procurement for diagnostics and medicines, adaptable technology (e-learning, mobile health, data dashboards), governance that promotes accountable experimentation, and data-informed monitoring of TB incidence, treatment adherence, and outcomes. By aligning education, information flow, service delivery, quality improvement, and patient empowerment, KIGSAW offers scalable pathways to reduce transmission, enable timely case detection (within 30 days for large intakes—approximately 200,000+ annually), document treatment, and ensure therapy completion—all within a framework that prioritizes equity and human rights. The study highlights the potential impact of early TB detection and treatment on progress toward elimination, emphasizing sustainability, local ownership, policy alignment, and cross-sector collaboration. It provides a practical, globally relevant blueprint for policymakers, practitioners, and researchers seeking to eradicate TB in resource-constrained prison settings.

Authors:
Pahurat Kongmuang Taisuwan, Department of Disease Control, Thailand
Saengduen Moonsom, Mahidol University, Thailand
Adisak Bhumiratana, Thammasat University, Thailand

About the Presenter(s)
Dr. Pahurat Kongmuang Taisuwan, Director of the SORDPC, DDC-MOPH, Thailand. She is responsible for addressing diseases and hazards associated with students in rural and mountainous areas, as well as within prison health programs.

Connect on Linkedin
https://www.linkedin.com/in/pahurat-k-taisu-10a9b313

See this presentation on the full schedule – Wednesday Schedule

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