Show simple item record

dc.contributor.authorAdrawa, Norbert
dc.contributor.authorOngiro, Simon
dc.contributor.authorLotee, Kizito
dc.contributor.authorSeret, Jacob
dc.contributor.authorAdeke, Mary
dc.contributor.authorIzudi, Jonathan
dc.date.accessioned2023-10-25T11:21:01Z
dc.date.available2023-10-25T11:21:01Z
dc.date.issued2023
dc.identifier.citationAdrawa, N., Ongiro, S., Lotee, K., Seret, J., Adeke, M., & Izudi, J. (2023). Use of a context-specific package to increase sputum smear monitoring among people with pulmonary tuberculosis in Uganda: a quality improvement study. BMJ Open Quality, 12(3), e002314.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/3216
dc.description.abstractBackground: People with bacteriologically confirmed pulmonary tuberculosis (BC-PTB) require sputum smear monitoring (SSM) to ascertain response to anti-TB treatment and cure from TB disease. We aimed to increase SSM at 2, 5 and 6 months among people with BC-PTB from the baseline (March to July 2021) of 68%, 37% and 39%, respectively, to 90% in February 2022 by implementing a context-specific improvement package at a rural health facility in northeastern Uganda. Methods: We designed a continuous quality improvement (CQI) study for people with BC-PTB, developed and tested an improvement package that consisted of the following context-specific measures: (1) line listing of all eligible persons for SSM; (2) use of reminder stickers to identify eligible persons for SSM; (3) use of community health workers to conduct home visits for people with missed clinic visits; and (4) integration of SSM into community-based ART points for distant persons. We implemented the measures using the plan-do- study- act cycle and tracked the progress in SSM through monthly data reviews and analyses. Results: SSM at 2 months improved from 68% (17/25) at the baseline to 74% (32/43) during phase I (p=0.818) and then to 94% (17/18) during phase II (p=0.562). SSM at 5 months improved from 37% (11/29) at the baseline to 82% (41/50) during phase I (p=0.094) and then to 100% (10/10) during phase II (p=0.688). SSM at 6 months improved from 39% (9/23) at the baseline to 59% (28/39) during phase I (p=0.189) and then to 100% (12/12) during phase II (p=0.487). Conclusion: The use of a context-relevant CQI package was accompanied by improved SSM at 2, 5 and 6 months among people with BC-PTB. Trends are encouraging but this should be considered as preliminary report because of limited numbers. These data can inform the design of a fully powered randomised controlled trial.en_US
dc.language.isoen_USen_US
dc.publisherBMJ Open Qualityen_US
dc.subjectPulmonary Tuberculosisen_US
dc.subjectSputum smear monitoringen_US
dc.subjectTB treatmenten_US
dc.subjectUgandaen_US
dc.titleUse of a context-specific package to increase sputum smear monitoring among people with pulmonary tuberculosis in Uganda: a quality improvement studyen_US
dc.typeArticleen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

  • Research Articles [456]
    These are different research articles about different Scholars

Show simple item record