Authors: Umble, K.E.¹; Brooks, J.²; Lowman, A.³; Malison, M.⁴; Huong, N.T.⁵; Iademarco, M.⁶; Laserson, K.⁷

Source: The International Journal of Tuberculosis and Lung Disease, Volume 13, Number 2, February 2009 , pp. 238-246(9)

Publisher: International Union Against Tuberculosis and Lung Disease

Abstract:

SETTING: National Tuberculosis Program (NTP), Vietnam.

OBJECTIVES: To show how the Sustainable Management Development Program (SMDP) of the US Centers for Disease Control and Prevention created capacity within Vietnam's NTP to organize a management training program, and to assess the influence of the NTP's in-country training program on individual and team management practices and the performance of provincial TB control programs.

DESIGN: Eight case studies of participating provincial TB organizations, including cross-case and content analysis.

RESULTS: Participants and their back-home learning project teams demonstrated a solid understanding of the concepts taught, particularly evidence-based decision making, problem diagnosis and problem solving, and using teamwork to improve results. They gave multiple examples of how they use these concepts in their daily work. Project teams exceeded, attained or very nearly attained their target objectives, including improved DOTS implementation. Process improvements had become a routine part of their practice and were often diffused to other districts. Several teams said they now took more initiative in identifying problems and devising solutions. Others said that increased teamwork was improving the commitment of the NTP staff.

CONCLUSION: Management training, including applied projects with coaching, can improve managerial and program performance of NTPs.

Keywords: tuberculosis; training programs; total quality management; program evaluation; Vietnam

Document Type: Regular paper

Affiliations: 1: North Carolina Institute for Public Health, School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA 2: Sustainable Management Development Program, Division of Global Public Health Capacity Development, Coordinating Office for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA 3: Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA 4: Thailand Coordinating Office for Global Health, Centers for Disease Control and Prevention, Bangkok, Thailand 5: Vietnam National Tuberculosis Program, Hanoi, Vietnam 6: Department of Health and Human Services, Washington DC, USA 7: Kenya Coordinating Office for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya

Publication date: 2009-02-01

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• The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

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