title: Performance of decentralised facilities in tuberculosis case notification and treatment success in Armenia.
abstract: We assessed the performance of decentralised tuberculosis (TB) out-patient centres in tuberculosis (TB) case notification and treatment success in Armenia. An average threshold case notification of ⩾37/100 000 was seen in centres that had higher numbers of presumptive TB patients, where more TB was diagnosed by in-patient facilities and where TB contacts were examined. The number of doctors and/or TB specialists at centres did not influence case notification. Onsite smear microscopy was significantly associated with a treatment success rate of ⩾85% for new TB patients. Addressing specific characteristics of TB centres associated with lower case notification and treatment success and optimising their location may improve performance.
authors.affiliation: National Tuberculosis Control Programme, Ministry of Health of Armenia, Yerevan, Armenia.
authors.forename: K
authors.initials: K
authors.lastname: Davtyan
authors.affiliation: Operational Centre Brussels, Médecins Sans Frontières (MSF), MSF-Luxembourg, Luxembourg.
authors.forename: R
authors.initials: R
authors.lastname: Zachariah
authors.affiliation: National Tuberculosis Control Programme, Ministry of Health of Armenia, Yerevan, Armenia.
authors.forename: H
authors.initials: H
authors.lastname: Davtyan
authors.affiliation: University of St Andrews Medical School, Fife, Scotland, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Ramsay
authors.affiliation: International HIV/AIDS Alliance in Ukraine, Kiev, Ukraine.
authors.forename: O
authors.initials: O
authors.lastname: Denisiuk
authors.affiliation: Operational Centre Brussels, Médecins Sans Frontières (MSF), MSF-Luxembourg, Luxembourg.
authors.forename: M
authors.initials: M
authors.lastname: Manzi
authors.affiliation: Operational Centre Brussels, Médecins Sans Frontières (MSF), MSF-Luxembourg, Luxembourg.
authors.forename: M
authors.initials: M
authors.lastname: Khogali
authors.affiliation: Operational Centre Brussels, Médecins Sans Frontières (MSF), MSF-Luxembourg, Luxembourg.
authors.forename: R
authors.initials: R
authors.lastname: Van den Bergh
authors.affiliation: National Tuberculosis Control Programme, Ministry of Health of Armenia, Yerevan, Armenia.
authors.forename: A
authors.initials: A
authors.lastname: Hayrapetyan
authors.affiliation: World Health Organization Regional Office for Europe, Copenhagen, Denmark.
authors.forename: M
authors.initials: M
authors.lastname: Dara
keywords: SORT IT; TB incidence; TB out-patient treatment; TB prevalence; operational research