Evaluation of Quality of Tuberculosis Control Activities in Public Hospitals in Tak Province, 2009 - การประเมินคุณภาพการดำเนินงานควบคุมวัณโรคในโรงพยาบาลของรัฐ จังหวัดตาก ปี 2552

Abstract

This paper reported the evaluation of quality of tuberculosis (TB) control activities in all 8 public hospitals in Tak Province in July 2009. The standards of TB activities recommended by the national tuberculosis program were used as a reference. Hospital data for quality evaluation were collected from TB registers, TB laboratory registers, TB treatment cards, and quarterly reports of treated TB patients. Hospital personnel who were in charge of TB activities were interviewed. Of the 8 hospitals, 7 (87.5 %) had enough trained health personnel for TB work and all had Mr. TB for TB management in the hospital. All the hospitals had good quality of microscopic sputum examination for TB. The national TB program recommended that at least 50 percent of the smear-positive patients had health personnel, health volunteers, or community leaders to be DOTS (directly observed therapy, short course) watchers, but none of the hospitals could meet this standard. Four hospitals (50.0 %) did not provide appropriate anti-retroviral therapy to TB patients with HIV infection. Measures for prevention of TB spread were properly performed in all of the 8 hospitals. There were some standards that 1 or 2 hospitals could not achieve, such as completeness, accuracy, and timeliness of the registrations, use of microscopic sputum examination for TB diagnosis, and adequate drug supply. Effective health education and/or training on TB to the hospital personnel and regular monitoring and supervision on TB work may be useful to improve TB control activities in the hospital.

Key words: evaluation, quality, standard of TB activity, public hospital