Skip to main content
padlock icon - secure page this page is secure

Local staff making sense of their tuberculosis data: key to quality care and ending tuberculosis

Buy Article:

$23.03 + tax (Refund Policy)

BACKGROUND

The End TB Strategy's ambitious targets require universal health coverage, new tools and better data to monitor progress.
OBJECTIVE

To assess the feasibility of a novel approach, whereby facility and district staff analyse and use their tuberculosis (TB) data to strengthen the quality of patient care and data.
METHODS

This approach was piloted in Zimbabwe, and performance before and during the study were compared. Key indicators were defined for presumptive TB, TB disease, drug-resistant TB, TB and human immunodeficiency virus (HIV) co-infection, treatment outcomes, directly observed treatment and drug management. Staff validated, tabulated and analysed data quarterly to identify challenges and agree on action points at ‘data-driven' supervision and performance review meetings.
RESULTS

In the district that fully implemented the new approach, there was a significant increase in the identification of presumptive TB (63% vs. 30% in the rest of the province; P < 0.00001) and new smear-positive TB cases (87% vs. a decrease in the rest of the province; P < 0.0001), and a decline in the rate of pulmonary TB cases without diagnostic smear results (77% vs. 20% in the rest of the province; P = 0.037).
CONCLUSION

The present study suggests that this approach led to an improvement in the quality of patient care and data, stimulated local staff to set priorities and increased ‘ownership'. This approach can significantly help attain national TB goals and strengthen health systems.
No Reference information available - sign in for access.
No Citation information available - sign in for access.

1 item.

No Article Media
No Metrics

Keywords: TB data analysis; recording; reporting; supervision; surveillance

Document Type: Research Article

Affiliations: 1: International Union Against Tuberculosis and Lung Disease (The Union), Paris, France 2: The Union, Harare 3: The Union, Harare, Family Health Practitioners, Bulawayo 4: Ministry of Health and Child Care, Harare, Zimbabwe

Publication date: May 1, 2019

More about this publication?
  • 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.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more