Table 6

Effects of NTCP on the level of human resources for health of the DHs A and B
Health service provision District hospital A District hospital B
Stock of personnel No additional staff recruitment No additional staff recruitment
Criteria for identifying the TDTC staff Availability, seriousness, obligingness Availability, seriousness, obligingness
Internal migration from general health care to TB activities Since 2008, one assistant nurse dedicated to the TDTC Partial migration: the TDTC nurse was head of a ward (surgery from 2003 to 2008 and medicine since 2009)
One laboratory technician dedicated to sputum smear processing
Labour force activity Detection of suspect tuberculosis patients by consulting nurses Processing of sputum smears by a dedicated laboratory technician Detection of suspect TB patients mainly by medical doctors
Drugs dispensation, follow up of hospitalized tuberculosis patients and reporting by the TDTC nurse Processing of sputum smears by all laboratory technicians
Chest radiography by a specialized nurse Drugs dispensation and reporting by head nurse of the medicine ward
human resources generation
Earnings No staff paid by the NTCP No staff paid by the NTCP
Incentives 15000 FCFA given to the TDTC nurse per trimester since 2010 15000 FCFA given to the TDTC nurse per trimester since 2010
Fees for sputum smear managed by the TDTC nurse Fees for sputum smear included in hospital revenues
Productivity No patient increase following the TDTC creation No patient increase following the TDTC creation
Education and training Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff
Workshops organized on tuberculosis care for TDTC staff and hospital managers Workshops organized on tuberculosis care for TDTC staff and hospital managers
Quarterly supervision of the TDTC staff by the NTCP coordinators Quarterly supervision of the TDTC staff by the NTCP coordinators

Keugoung et al.

Keugoung et al. BMC Public Health 2013 13:265   doi:10.1186/1471-2458-13-265

Open Data