Guidelines for Conducting a Review of a National Tuberculosis Programme
WHO/TB/98.240
Document produced by the WHO Global Tuberculosis Programme
Technical Units
Order Number    19300148 Format    Package
Price    CHF    12.00 / US$    14.40 Developing countries:    CHF    8.40
English     1998        70   pages
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Summary
This book provides a comprehensive guide to the steps to follow when conducting a review of a national tuberculosis programme and collecting the data needed to monitor progress, identify problems, and plan solutions. Addressed to the managers of national tuberculosis programmes, the book places firm emphasis on the DOTS (directly observed treatment, short course) strategy and the need for close monitoring of its implementation as the best strategy for ensuring that all patients with tuberculosis are correctly diagnosed and treated until cured. Details range from a suggested day-by-day agenda for conducting the review, through lists of questions to ask during field visits and interviews with doctors and patients, to practical advice on ways to present conclusions to non-medical decision-makers and the press. Although information is specific to tuberculosis, the concepts and procedures set out in the guide can be used in other diease programmes as well.
Recommended procedures draw on experiences gained during more than a dozen in-depth programme reviews conducted in Africa, Asia, and Latin America in close collaboration with WHO. Throughout the guide, numerous checklists, model forms, and assessment tools are included to facilitate the collection and reporting of relevant, reliable, and standardized data.
The book has two parts. Chapters in the first introduce and explain each of the tasks required for planning and preparation, conducting the review, and following up on its conclusions and recommendations. Particular attention is given to the organization of field visits to observe the tuberculosis control system, to interview health workers and patients, and to collect quantitative data on programme performance. Abundant practical advice, firmly rooted in recent experiences, includes suggested timetables for completing each main group of tasks and alerts to potential problems.
The second part presents a large number of checklists, examples, and model forms designed to facilitate national reviews. A planning chart and suggested day-by-day agenda are followed by model forms for collecting and reporting data from the microscopy centre, on case finding, on two-month sputum conversion, and on treatment outcome. Also included are lists indicating the information that should be collected during interviews with doctors, laboratory staff, and patients, and recommended methods for determining the epidemiological situation of tuberculosis and defining the characteristics of the national control programme. Additional guidance includes recommendations for structuring reported findings, a checklist of what to investigate during a visit to a treatment centre, a methodology for economic analysis of TB control services, and advice on how to review staff training, define the programme's relationship with general health services, and communicate with the press.