Evaluation of quality of TB control services by private health care providers in Plateau state, Nigeria; 2012.
BACKGROUND
Tuberculosis (TB) is public health concern in Nigeria. The country uses the Directly Observed Treatment Short course (DOTS) strategy for its control. Plateau state started using the DOTS strategy in 2001 and had the Private health facilities (PHF) as an important stakeholder. We evaluated their contributions to case finding and quality of the services to identify gaps in monitoring and evaluation in the TB control services within the PHF to plan for intervention so as to meet the set target for TB control in the state.


METHODS
We used the logical framework approach to identify and analyze the problem. We drew up an objective tree and from the objective tree developed a logical framework matrix including evaluation plan. We also conducted desk review to extract data on case findings, case management and outcomes of the treatment. We interviewed TB focal persons and laboratory personnel using structured questionnaire. The data was analyzed using excel spread sheet.


RESULTS
Of the 127 health facilities with TB patients on treatment 27 (21.3%) were PHF. The PHF reported 54.6% (1494) of TB cases in 2011. The sputum conversion rates, cured rate, treatment success rate, and default rates were 85%, 73%, 81.4% and 6.6% respectively. The discordant rates were 3.1% and 1.2% for the state and private health facilities respectively.


CONCLUSIONS
Log frame approach is a useful tool for evaluation of TB control services and helps provide evidence for decision making to improve quality of the TB services in the public and private health facilities in the state.
Nigeria Field Epidemiology and Laboratory Training Programme, Nigeria.
Luka Mangveep
LM
Ibrahim
E&F Management Consult, Abuja, Nigeria.
Obinna O
OO
Oleribe
Nigeria Field Epidemiology and Laboratory Training Programme, Nigeria.
Patrick
P
Nguku
TB and Leprosy control program plateau state, Nigeria.
Gabriel Chukwak
GC
Tongwong
TB and Leprosy control program plateau state, Nigeria.
Lakda Gonen
LG
Mato
TB and Leprosy control program plateau state, Nigeria.
Musa Istifanus
MI
Longkyer
World Health Organization, Nigeria.
Samuel
S
Ogiri
Global Public Health Solutions, Decatur GA USA.
Peter
P
Nsubuga
D000995:Antitubercular Agents / Q000627:therapeutic use*; D003695:Delivery of Health Care / Q000592:standards*; D023801:Directly Observed Therapy; D006268:Health Facilities / Q000706:statistics & numerical data; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D011634:Public Health; D011787:Quality of Health Care / Q000592:standards*; D013183:Sputum / Q000382:microbiology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014376:Tuberculosis / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control
D000995:Antitubercular Agents
Logframe approach; Private facilities; Tuberculosis; monitoring and evaluation