The Quality of Tuberculosis Services in Health Care Centres in a Rural District in Uganda: The Providers’ and Clients’ Perspective

Quality of care plays an important role in the status of tuberculosis (TB) control, by influencing timely diagnosis, treatment adherence,and treatment completion. In this study,we aimed at establishing the quality of TB service care in Kamuli district health care centres using Donabedian structure, process, and outcomes model of health care. One of the worst performance indicators was low percentage of cure.

“Nothing For Us Without Us”: Establishing a Tuberculosis-Free Africa Through Community Action

African community activists have long recognized the need to strengthen the voices of African advocates and civil
society working to improve health and wellbeing across the continent. With funding from the United States Agency for
International Development (USAID), PATH helped former tuberculosis (TB) patients from five African countries to
build on the previous efforts of their colleagues to create a strong core organization—the Africa Coalition on
Tuberculosis (ACT!)—and then expand ACT!

Balancing Authority, Deference and Trust Across the Public–Private Divide in Health Care: Tuberculosis Health Visitors in Western Maharashtra, India

While concepts such as ‘partnership’ are central to the terminology of private–public mix (PPM), little attention has been paid to how social relations are negotiated among the diverse actors responsible for implementing these inter-sectoral arrangements. India’s Revised National Tuberculosis Control Programme (RNTCP) has used intermediary agents to facilitate the involvement of private providers in the expansion of Directly Observed Therapy, Short-Course (DOTS).

Health Seeking Behavior, Practices of TB and Access to Health Care Among TB Patients in Machakos County, Kenya. A Cross-Sectional Study

The main objective of this study was to examine the health seeking behavior of TB patients, practices of TB and access to health care. A cross- sectional survey of TB patients was done in Athi River, Machakos level 5 and Mutituni TB treatment health facilities in Machakos County. [from abstract]

Perceptions and Acceptability of Short Message Services Technology to Improve Treatment Adherence amongst Tuberculosis Patients in Peru: A Focus Group Study

In this study, we sought to investigate perceptions related to feasibility and acceptability of using text messaging to improve treatment adherence among adults who were receiving treatment for TB in Callao, Peru. [from abstract]

Cross Sectional Study of Knowledge and Attitudes Towards Tuberculosis among Front-Line Tuberculosis Personnel in High Burden Areas of Lima, Peru

This study analyzed mean knowledge scores among health workers in 66 health centers in Peru to identify overall gaps in key areas of tuberculosis (TB) treatment and control knowledge, and attitudes towards the disease and the national TB control program. [adapted from abstract]

Tuberculosis in Healthcare Workers and Infection Control Measures at Primary Healthcare Facilities in South Africa

This study’s objectives were to investigate the implementation of tuberculosis (TB) infection control measures at primary healthcare facilities, the smear positive TB incidence rate amongst primary healthcare workers and the association between TB infection control measures and all types of TB in healthcare workers. [from abstract]

Factors Associated to Referral of Tuberculosis Suspects by Private Practitioners to Community Health Centers in Bali Province, Indonesia

The contrast between the low proportion of tuberculosis (TB) suspects referred from private practitioners in Bali province and the high volume of TB suspects seeking care at private practices suggests problems with TB suspect referral from private practitioners to the public health sector. This study aimed to identify key factors associated with the referral of TB suspects by private practitioners. [from abstract]

How Well Can Physicians Manage Tuberculosis? A Public-Private Sector Comparison from Karachi, Pakistan

This study endeavored to identify the gap in knowledge regarding the diagnosis and management of tuberculosis between public and private doctors and the factors affecting these knowledge scores in urban Pakistan. [adapted from abstract]

House Calls by Community Health Workers and Public Health Nurses to Improve Adherence to Isoniazid Montotherapy for Latent Tuberculosis Infection: A Retrospective Study

The goal of this study was to assess whether house calls by community health workers and public health nurses affected isoniazid adherence for latent tuberculosis infection or frequency of adverse effects. [adapted from author]

Role of AFB Microscopy Training in Improving the Performance of Laboratory Professionals: Analysis of Pre and Post Training Evaluation Scores

The objective of this study was to investigate the role of AFB microscopy refresher training on the performance of tuberculosis laboratory professionals in Ethiopia. [adapted from author]

Infection Prevention and Control: Training Curriculum for Healthcare Workers

Providing education and training to healthcare staff is an important strategy in implementing a tuberculosis infection prevention program. This manual and training curriculum provide information to begin improving infection prevention practices in health facilities and home based care. [adapted from publisher]

National Guidelines for Tuberculosis Infection Control

This guideline emphasises measures that reduce the risk of transmitting tuberculosis (TB) to managers, health care workers, patients, visitors and other persons in the health care facilities and households. It focuses on the safety of health care workers and reduction of patient-to-patient transmission. [adapted from author]

Development of TB Occupational Safety Framework

This report provides a draft framework which outlines action steps a country may take in formulating tuberculosis (TB) occupational safety strategies to encompass the needs of prevention and treatment of TB disease among health care workers. [adapted from summary]

Community-Based Care for Drug-Resistant Tuberculosis: A Guide for Implementers

Effectively scaling up treatment of drug-resistant tuberculosis (DR TB) will require addressing health systems–related issues, such as task shifting to alleviate human resources shortages and greater community engagement. This guide provides practical, step-by-step guidance on how to organize, implement, and monitor community-based care for DR TB. [adapted from introduction]

Assessment of Provider Adherence to TB Evidence-based Standards and Guidelines in Bangladesh

The study assessed provider adherence to tuberculosis (TB) guidelines on national, regional/district, and facility-based levels in Bangladesh. [adapted from author]

Assessment of Provider Adherence to TB Evidence-based Standards and Guidelines in Zambia

This study was undertaken as part of a multi-country study to determine providers’ adherence with evidence based tuberculosis (TB) standards and guidelines. This particular study assesses adherence with TB guidelines in Zambia at national, provincial/district and facility-based levels. [adapted from summary]

Adherence with Evidence-Based TB Standards and Guidelines in Selected Health Facilities in Kenya

This study was undertaken to determine providers’ and patients’ adherence to national tuberculosis (TB) treatment guidelines. The key findings are expected to provide information regarding factors influencing provider adherence to guidelines, such as providers’ TB-related knowledge and attitudes, environmental factors and resources necessary to adhere to TB diagnosis and treatment standards. [adapted from author]

TB Tracer Teams in South Africa: Knowledge, Practices and Challenges of Tracing TB Patients to Improve Adherence

This study describes the knowledge, attitudes, and practices of tuberculosis (TB) program personnel involved with tracing activities as part of a national pilot project in South Africa, the TB Tracer Project, which aims to decrease default rates and improve patient outcomes. [adapted from abstract]

Assessment of Provider Adherence to TB Evidence-Based Standards and Guidelines in Zambia

This study was undertaken to determine providers’ adherence with evidence based TB standards and guidelines in Zambia at national, provincial/district and facility-based levels. [adapted from summary]

Screening for Latent Tuberculosis in Norwegian Health Care Workers: High Frequency of Discordant Tuberculin Skin Test Positive and Interferon-Gamma Release Assay Negative Results

This study examined the role of blood based interferon-gamma release assays versus the tuberculin skin test for health workers exposed to tuberculosis. [adapted from abstract]

Health Workers' Performance in the Implementation of Patient Centred Tuberculosis Treatment (PCT) Strategy Under Programmatic Conditions in Tanzania: A Cross Sectional Study

PCT aims to improve adherence to tuberculosis treatment by giving patients the choice of having drug intake supervised at the health facility by a medical professional or at home by a supporter of their choice. This study assessed whether key elements of the PCT approach were being implemented, evaluated supporters’ knowledge, captured opinions on factors contributing to treatment completion, and assessed how treatment completion was measured. [from abstract]

Tuberculosis in Medical Doctors: A Study of Personal Experiences and Attitudes

The concurrent tuberculosis (TB) and HIV epidemics in sub-Saharan Africa place all healthcare workers at increased risk of exposure to TB. This study explores personal experiences, attitudes and perceptions of medical doctors following treatment for TB within the healthcare system. [from abstract]

HIV and TB in Practice for Nurses: TB Infection Control

This issue covers why TB infection control is an important issue for nurses; how TB is spread; creating an enabling environment for TB infection control; and administrative, environmental and personal controls. [adapted from author]

Why Are Tuberculosis Patients Not Treated Earlier? A Study of Informal Health Practitioners in Bangladesh

The objective of this article was to study the role of informal health practitioners in delays in initiating tuberculosis (TB) treatment in new smear-positive TB patients. [from author]

Nigeria TB Supportive Supervision Pilot Evaluation

This document is an evaluation of the implementation of a tool to assist in supervision, assessment and creation of action plans for quality improvement in facilities where TB is diagnosed and treated. [adapated from introduction]

Engagement of Non-Government Organizations and Community Care Workers in Collaborative TB/HIV Activities Including Prevention of Mother to Child Transmission in South Africa: Opportunities and Challenges

Using South Africa as a case study, this article reports on the engagement of non-governmental organizations and community care workers in the implementation of collaborative tuberculosis/HIV activities in rural South Africa, including extent of participation and constraints and opportunities to enhance effective participation. [adapted from abstract]

Engaging the Private Sector to Increase Tuberculosis Case Detection: An Impact Evaluation Study

In many countries with a high burden of tuberculosis, most patients receive treatment in the private sector. This study evaluates a multifaceted case-detection strategy in Karachi, Pakistan, targeting the private sector. [from abstract]

Early Detection of Tuberculosis through Community-Based Active Case Finding in Cambodia

This paper examines the differences in the demographic characteristics, smear grades, and treatment outcomes of pulmonary tuberculosis cases detected through both active and passive case finding to determine if active case finding from health workers in mobile radiography units could contribute to early case finding, considering associated project costs. [adapted from author]

Measuring Workload for Tuberculosis Service Provision at Primary Care Level: A Methodology

This article describes a methodology developed to establish tuberculosis (TB) related work load in a given context and for a given patient load for use by TB program managers and health planners. The authors piloted this methodology in Tanzania in three districts; one rural, one urban and one semi-urban district as the countrycurrently faces a health workforce shortage of 65% in the public sector and 86% in the private sector, with unequal distribution between urban and rural areas. [adapted from author]