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The aim of this toolkit is to give the opportunity for people who develop, support and deliver services for inclusion health groups (IHGs) to reinvigorate local partnerships, and revisit how to better support these groups using best practice, recommendations and shared learning, for the overall aims of improving health outcomes for IHGs and TB elimination.

IHGs describe groups of people, who although diverse, share experience of social exclusion and who typically experience multiple overlapping risk factors for poor health (such as, stigma, poor access to services and very high levels of disease).

The toolkit discusses the shared and distinct challenges experienced by IHGs which act as barriers to care, the latest evidence on treatment of TB in IHGs, and new analysis of TB rates and outcomes in IHGs. This is followed by recommendations to address these barriers, exemplars of good practice, and tools and resources for services to draw upon and adapt locally. These are presented under 3 themes:

• theme 1: providing accessible integrated care for IHGs
• theme 2: building inclusive partnerships
• theme 3: use of inclusion health data to support service design and commissioning

The full list of the 鈥榚xemplars鈥� and 鈥榯ools and resources鈥� have also been collated into a directory with contact details so users can search through them easily and contact project or service leads for further information.

This toolkit replaces the聽Tackling tuberculosis in under-served populations聽guidance, last updated by Public Health England in 2019.