title: Evaluation of the national tuberculosis surveillance program in Haiti.
abstract: OBJECTIVE
  To assess the quality of tuberculosis (TB) surveillance in Haiti, including whether underreporting from facilities to the national level contributes to low national case registration.
  
  
  METHODS
  We collected 2010 and 2012 TB case totals, reviewed laboratory registries, and abstracted individual TB case reports from 32 of 263 anti-tuberculosis treatment facilities randomly selected after stratification/weighting toward higher-volume facilities. We compared site results to national databases maintained by a non-governmental organization partner (International Child Care [ICC]) for 2010 and 2012, and the National TB Program (Programme National de Lutte contre la Tuberculose, PNLT) for 2012 only.
  
  
  RESULTS
  Case registries were available at 30/32 facilities for 2010 and all 32 for 2012. Totals of 3711 (2010) and 4143 (2012) cases were reported at the facilities. Case totals per site were higher in site registries than in the national databases by 361 (9.7%) (ICC 2010), 28 (0.8%) (ICC 2012), and 31 (0.8%) cases (PNLT 2012). Of abstracted individual cases, respectively 11.8% and 6.8% were not recorded in national databases for 2010 (n = 323) and 2012 (n = 351).
  
  
  CONCLUSIONS
  The evaluation demonstrated an improvement in reporting registered TB cases to the PNLT in Haiti between 2010 and 2012. Further improvement in case notification will require enhanced case detection and diagnosis.
authors.affiliation: Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA; Epidemic Intelligence Service Program, Atlanta, Georgia, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: Salyer
authors.affiliation: Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Fitter
authors.affiliation: Programme National de Lutte contre la Tuberculose, Ministère de la Santé Publique et de la Population, Port-au-Prince, Haiti.
authors.forename: R
authors.initials: R
authors.lastname: Milo
authors.affiliation: Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: C
authors.initials: C
authors.lastname: Blanton
authors.affiliation: Bothwell Regional Health Center, Sedalia, Sedalia, Missouri, USA.
authors.forename: J L
authors.initials: JL
authors.lastname: Ho
authors.affiliation: International Child Care, Port-au-Prince, Haiti.
authors.forename: H
authors.initials: H
authors.lastname: Geffrard
authors.affiliation: Programme National de Lutte contre la Tuberculose, Ministère de la Santé Publique et de la Population, Port-au-Prince, Haiti.
authors.forename: W
authors.initials: W
authors.lastname: Morose
authors.affiliation: Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: Marston
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D005260:Female; D006205:Haiti / Q000453:epidemiology; D006268:Health Facilities / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation / Q000592:standards*; D062486:Public Health Surveillance / Q000379:methods*; D012042:Registries; D014376:Tuberculosis / Q000453:epidemiology*; D055815:Young Adult