Evaluating Tuberculosis Case Detection via Real-Time Monitoring of Tuberculosis Diagnostic Services

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dc.contributor.authorDavis, J. Lucian
dc.contributor.authorKatamba, Achilles
dc.contributor.authorVasquez, Josh
dc.contributor.authorCrawford, Erin
dc.contributor.authorSserwanga, Asadu
dc.contributor.authorKakeeto, Stella
dc.contributor.authorKizito, Fred
dc.contributor.authorDorsey, Grant
dc.contributor.authorBoon, Saskia den
dc.contributor.authorVittinghoff, Eric
dc.contributor.authorHuang, Laurence
dc.contributor.authorAdatu, Francis
dc.contributor.authorKamya, Moses R.
dc.contributor.authorHopewell, Philip C.
dc.contributor.authorCattamanch, Adithya
dc.date.accessioned2023-01-18T15:53:26Z
dc.date.available2023-01-18T15:53:26Z
dc.date.issued2011
dc.description.abstractTuberculosis case-detection rates are below internationally established targets in high-burden countries. Real-time monitoring and evaluation of adherence to widely endorsed standards of tuberculosis care might facilitate improved case finding. Objectives: To monitor and evaluate the quality of tuberculosis casedetection and management services in a low-income country with a high incidence of tuberculosis. Methods:We prospectively evaluated tuberculosis diagnostic services at five primary health-care facilities in Uganda for 1 year, after introducing a real-time, electronic performance-monitoring system. We collecteddataonevery clinicalencounter,andmeasuredquality using indicatorsderivedfromthe International StandardsofTuberculosisCare. Measurements and Main Results: In 2009, there were 62,909 adult primary-care visits.During the first quarter of 2009, clinicians referred only21%of patients with cough greater than or equal to 2 weeks for sputum smear microscopy and only 71% of patients with a positive sputum examination for tuberculosis treatment. These proportions increased to 53% and 84%, respectively, in the fourth quarter of 2009. The cumulative probability that a smear-positive patient with cough greater than or equal to 2 weeks would be appropriately evaluated and referred for treatment rose from 11% to 34% (P 5 0.005). The quarterly number of tuberculosis cases identified and prescribed treatment also increased four-fold, from 5 to 21. Conclusions: Pooradherence tointernationally acceptedstandards of tuberculosis care improved after introduction of real-time performance monitoring and was associated with increased tuberculosis case detection. Real-time monitoring and evaluation can strengthen health systems in low-income countries and facilitate operational research on the effectiveness and sustainability of interventions to improve tuberculosis case detection.en_US
dc.identifier.citationDavis, J., Katamba, A., Vasquez, J., Crawford, E., Sserwanga, A., Kakeeto, S., ... & Cattamanchi, A. (2011). Evaluating tuberculosis case detection via real-time monitoring of tuberculosis diagnostic services. American journal of respiratory and critical care medicine, 184(3), 362-367. DOI: 10.1164/rccm.201012-1984OCen_US
dc.identifier.other10.1164/rccm.201012-1984OC
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7027
dc.language.isoenen_US
dc.publisherAmerican journal of respiratory and critical care medicineen_US
dc.subjectTuberculosisen_US
dc.subjectDiagnosisen_US
dc.subjectHealth care quality assuranceen_US
dc.subjectOperations researchen_US
dc.subjectPublic healthen_US
dc.titleEvaluating Tuberculosis Case Detection via Real-Time Monitoring of Tuberculosis Diagnostic Servicesen_US
dc.typeArticleen_US
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