title: Outcome assessment of a Global Fund grant for tuberculosis control at the district level in rural Cameroon.
abstract: METHODS
  Batibo District Hospital (BDH), North-West Cameroon.
  
  
  OBJECTIVE
  To assess the outcome of the implementation of the Global Fund (GF) Grant Round 3 for tuberculosis (TB) control at the district level.
  
  
  METHODS
  A retrospective study for the period 2003-2008 comparing TB programme outcome indicators before (2003-2005) and after (2006-2008) the GF grant.
  
  
  RESULTS
  During the study period 293 TB cases were enrolled on treatment. Comparing the cumulative outcome indicators for smear-positive pulmonary TB cases 3 years before and after the grant, case notification increased by >50%, case detection by almost 50% and treatment success by nearly 20% during the grant period. The case detection rate for smear-positive pulmonary TB nearly doubled, while the treatment success rate reached 100% in 2006. Default and mortality rates dropped to zero in 2006 and 2007 from maximum values of respectively 15% and 23% in 2004 and 2005. However, in 2008, there was a decline across all programme indicators, probably due to staff turnover.
  
  
  CONCLUSIONS
  Outcome indicators of the TB programme in BDH increased markedly following the implementation of the GF grant. Nevertheless, if not tackled appropriately, staff turnover might impede the sustainability of this positive outcome.
authors.affiliation: Ministry of Public Health, National AIDS Control Committee, Yaoundé, Cameroon. ha.yumo@yahoo.com
authors.forename: H A
authors.initials: HA
authors.lastname: Yumo
authors.forename: D
authors.initials: D
authors.lastname: Mbanya
authors.forename: C
authors.initials: C
authors.lastname: Kuaban
authors.forename: F
authors.initials: F
authors.lastname: Neuhann
mesh_terms: D000293:Adolescent; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002163:Cameroon / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005381:Financing, Organized; D006767:Hospitals, District; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010563:Personnel Turnover; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies; D016896:Treatment Outcome; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents