* *
* * * Home: What MSH Does: TB: Enhancing the Quality of Health Systems and Services

Enhancing the Quality of Health Systems and Services
Strong management systems are essential for improving the management, organization and sustainability of TB control systems and services. This patient in Nicaragua is being checked by his physician. Photo: WHO/TB/Jad DavenportGood case detection and high cure rates require strong TB programs that are integrated into primary health care settings and located close to patients, their families, and communities. Integration at the local level helps ensure that people with TB are quickly and accurately diagnosed, started on directly observed treatment, and followed up over the course of their treatment. Communities need to be informed, engaged, and mobilized to access high-quality care.

Strong management systems are essential to support these programs and services. MSH works with ministries of health and a range of stakeholders to build strong management systems to improve TB diagnosis and treatment. These systems enable TB programs at all levels to plan ahead, develop human capacity, manage finances and commodities, collect and use information, monitor patient progress and program activities, and evaluate results. MSH also works with national TB programs as they mobilize communities to actively prevent and control TB.

Related Country Work:

MSH is providing assistance to integrate TB control into primary health care services and enhance service quality through large USAID-funded programs in Afghanistan, Haiti, Malawi, and South Africa. Other targeted assistance is provided in Ecuador and Uganda.

MSH Resources related to Enhancing the Quality of Health Systems and Services:

Resources are in PDF format. Click here for information about installing Acrobat Reader.

Periodicals
Issues of The Manager
Tools
*
Highlights
* * * * *
*
* arrow * Afghanistan: Trading Despair for Hope *
*
* arrow * South Africa: Reinforcing the Basics to Improve TB Management *
*
* arrow * Brazil: Family Health Teams Make DOTS Work *
*
*
*

Tuberculosis Control Assistance Program

Tuberculosis (TB) is a growing global health problem. One-third of the world's population in developing countries is infected with TB. While great progress has been made reaching the World Health Organization’s (WHO) target of 85% treatment success rate by 2003, the actual case detection rate in 2005 is far behind the target of 70%. However, in African countries, the case rate is increasing at 7% per year, largely because of the epidemic of HIV infection. In Eastern Europe, the case rate is increasing at 5% per year because of inadequate public health services and the emergence of multidrug resistant tuberculosis (MDR-TB).

While there has been progress in addressing TB at the global and country levels, significant constraints remain in implementing the World Health Organization’s (WHO) Stop TB strategy. USAID is addressing these constraints through the Tuberculosis Coalition for Technical Assistance (TBCTA), which implements the Tuberculosis Control Assistance Program (TBCAP).
0 0

*
*