dc.contributor.author | Chaisson, Lelia H. | |
dc.contributor.author | Katamba, Achilles | |
dc.contributor.author | Haguma, Priscilla | |
dc.contributor.author | Ochom, Emmanuel | |
dc.contributor.author | Ayakaka, Irene | |
dc.contributor.author | Mugabe, Frank | |
dc.contributor.author | Miller, Cecily | |
dc.contributor.author | Vittinghoff, Eric | |
dc.contributor.author | Davis, J. Lucian | |
dc.contributor.author | Handley, Margaret A. | |
dc.contributor.author | Cattamanchi, Adithya | |
dc.date.accessioned | 2023-01-19T18:42:53Z | |
dc.date.available | 2023-01-19T18:42:53Z | |
dc.date.issued | 2015 | |
dc.identifier.citation | Chaisson LH, Katamba A, Haguma P, Ochom E, Ayakaka I, Mugabe F, et al. (2015) Theory- Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi-Experimental Study. PLoS ONE 10(7): e0132573. doi:10.1371/journal.pone.0132573 | en_US |
dc.identifier.other | 10.1371/journal.pone.0132573 | |
dc.identifier.uri | https://nru.uncst.go.ug/handle/123456789/7082 | |
dc.description.abstract | Tuberculosis (TB) remains under-diagnosed in many countries, in part due to poor evaluation
practices at health facilities. Theory-informed strategies are needed to improve implementation
of TB evaluation guidelines. We aimed to evaluate the impact of performance
feedback and same-day smear microscopy on the quality of TB evaluation at 6 health centers
in rural Uganda.
Methods
We tested components of a multi-faceted intervention to improve adherence to the International
Standards for Tuberculosis Care(ISTC): performance feedback and same-day smear
microscopy. The strategies were selected based on a qualitative assessment guided by the
Theory of Planned Behavior and the PRECEDE model. We collected patient data 6 months
before and after the introduction of each intervention component, and compared ISTC adherence
in the pre- and post-intervention periods for adults with cough 2 weeks’ duration.
Results
The performance feedback evaluation included 1,446 adults; 838 (58%) were evaluated
during the pre-intervention period and 608 (42%) during the post-intervention period. Performance
feedback resulted in a 15% (95%CI +10%to +20%, p<0.001) increase in the proportion of patients receiving ISTC-adherent care. The same-day microscopy evaluation
included 1,950 adults; 907 (47%) were evaluated during the pre-intervention period and
1,043 (53%) during the post-intervention period. Same-day microscopy was associated
with a 14% (95%CI +10%to +18%, p<0.001) increase in the proportion of patients receiving
ISTC-adherent care.
Conclusions
Performance feedback and same-day microscopy should be considered along with ISTC
training as part of a multi-faceted intervention to improve the quality of TB evaluation in
other high TB burden countries. | en_US |
dc.language.iso | en | en_US |
dc.publisher | PLoS ONE | en_US |
dc.subject | Tuberculosis | en_US |
dc.subject | Ugandan Health Centers | en_US |
dc.subject | Quasi- Experimental Study | en_US |
dc.title | Theory-Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi- Experimental Study | en_US |
dc.type | Article | en_US |