A quality assessment tool for tuberculosis control activities in resource limited settings

Abstract

Tuberculosis (TB) is a significant problem, infecting nearly 9 million new patients per year and killing about 2 million a year. The primary means with which to affect TB globally are to decrease transmission locally, mainly by effective identification, diagnosis, and treatment of infectious TB patients. Therefore, quality assurance of TB control efforts at the local level is essential. This study describes the creation of a data extraction tool for retrospective chart review based on the International Standards for TB Care, 2009 for the assessment of TB control programs located in resource limited settings. The tool was field tested at a rural mission hospital in central Kenya. Results were used by host site staff to develop a quality improvement plan. The process prompted revision of the tool to clarify questions and answers. This is a tool that can be used in resource limited settings for data collection to assess the quality of TB care and to inform the design, implementation, and further assessment of future quality improvement initiatives.

Mechanistic analysis elucidating the relationship between Lys96 mutation in Mycobacterium tuberculosispyrazinamidase enzyme and pyrazinamide susceptibility

“…About one third of the world population is suffering from the infection caused by Mycobacterium tuberculosis [ 1 ]. It was estimated, that in 2012, around 8.6 million people developed TB and approximately 1.3 million people died because of this disease [ 2 ]. The emergence of drug-resistant bacterial strains is one of the main causes for the current spread of TB [ 3 ].…”

Measuring management’s perspective of data quality in Pakistan’s Tuberculosis control programme: a test-based approach to identify data quality dimensions

“…The data quality dimensions, identified using test-based approach, are consistent with terminologies found in existing literature on data quality. However, the approach of collecting or identifying data quality dimensions in TB control programs implemented in other parts of the world is different, e.g., survey [ 7 ], qualitative interview [ 8 ], literature review [ 11 ] and consultative workshop [ 30 ]. In other domains and instances, business data consumers identified 179 data quality dimensions through survey [ 28 ], and a review of electronic medical record literature identified 27 data quality dimensions [ 29 ].…”

“…Therefore, assessment of data quality and providing feedback to users are essential activities to generate an impact on TB control and prevention efforts [ 10 ]. National TB control programs of high-burden countries like Pakistan, Kenya, and Ethiopia have mentioned data quality issue as a serious concern implicating performance management negatively [ 11 , 12 ]. However in TB control attempts, strategies for the data quality improvement are adopted elsewhere and have generated better data quality results [ 13 ].…”

Tuberculosis Patients' Perspective of Quality of Care Provided By Nurses after Implementing Nursing Intervention at Chest GovernorateHospitals in Gharbia

“…Attention to the quality in patient care is important in every setting (17) . Billingsely, et.al (2011) sated that the gap in what is done and what should be done can be closed by providers who implement the principles of quality improvement and have good tools and resources to do so (39) . As regarding support received from the TB facility you are visiting; the patients attending public hospitals experienced lower levels of satisfaction with technical quality of TB care, responsiveness to patient preferences, and patients' understanding of potential problems of TB medicines this is in agreement with Babikako, et.al (2011) (40) .…”