Quality Assessment of Directly Observed Treatment Short-Course of Tuberculosis in Afar National Regional State

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Addis Abeba University


Introduction: despite availability of reliable diagnostic approaches and effective drugs for over decades, Tb remained a major public health problem, where there have been limited impacts in reducing its global burden despite the growing adherence to the recommendations of WHO on the use of DOTS and other interventions in many countries. Objective: to assess the quality of Tuberculosis treatment in Afar National Regional State. Methodology: cross sectional health institution based survey was conducted between 5th February and 10th March in six health institutions, where records were reviewed for 270 Patients’, exit interview were made among 209 patients, six providers were interviewed and observations were made for 49 patients. Data were entered and analyzed using SPSS 11.0 for windows statistical software and findings at 95% confidence interval and p value of 0.05 were reported as statistically significant. Result: the results of the study showed that staffing qualities were poor and patterns of supervision were weak but delivery supplies for Tb control activities were good. A relatively higher proportion of patients were dissatisfied with the appropriateness and adequacy of working hours and waiting time. Statistically significant correlation was observed between process quality and output quality (clients’ satisfaction). Conclusion And Recommendations: it was concluded that the quality of Tb treatment in Afar National Regional State was poor where; both the quantity and the quality of staffing were not satisfactory, the issue of refreshment training seems to be absent, the pattern of supervision was weak and was also unplanned, inconsistent and lack feedback whenever it had been effected, which is totally against the national guideline where it is strongly recommended as part of program communication. Hence, mechanisms to improve the different aspects of the program and sticking to the national TLCP manual were strongly recommended. 2



Quality Assessment of Directly