Table 8

Effects of the NTCP on routine health information system at DHs A and B
Technical factors District hospital A District hospital B
Reporting system Printed tuberculosis tools (registers, patient treatment card, 2 quarterly reporting forms) introduced by the NTCP in 2003 Printed tuberculosis tools (registers, patient treatment card, 2 quarterly reporting forms) introduced by the NTCP in 2003
Printers registers for routine HIS Registers manually designed for routine HIS
Designer of reporting forms NTCP for the tuberculosis HIS NTCP for the tuberculosis HIS
Ministry of health for the routine reporting form
Managers of the hospital for registers
Central level of the church for registers and reports
Software for HIS No No
Computers acquired from hospital resources Computers acquired from hospital resources
Recruitment of a HIS staff No for tuberculosis HIS No
Yes, in 2008, but only in charge of routine reporting and paid from hospital revenues
Skills of the HIS staff in using computer No specific training on HIS management No specific training on HIS management
Complexity of the reporting forms Simple for tuberculosis tools but takes too much time Simple for tuberculosis tools but takes too much time
Filling routine registers is easy Filling routine registers is easy
Procedures Simple Simple
Organisational factors
Information distribution Reports sent to the regional NTCP coordination since 2003 (completeness: 100%) Reports sent to the regional NTCP coordination since 2003 (completeness: 100%)
Routine reports sent to the district till 2006, but regularly to the Church hierarchy Routine reports sent to the district in 2010
Interest devoted to reporting Very high for the NTCP Very high for the NTCP
Low for routine reports Low for routine reports
Supervision Quarterly by the NTCP coordinators, all tuberculosis tools reviewed Quarterly by the NTCP coordinators, all tuberculosis tools reviewed
Rare for routine activities Rare for routine activities
Training No specific training on HIS No specific training on HIS
Finances No additional resources for HIS No additional resources for HIS
Allocation of computer Computers acquired from hospital resources Computers acquired from hospital resources
Allocation of reporting forms and other materials Tuberculosis reporting tools provided by the NTCP Tuberculosis reporting tools provided by the NTCP
Routine registers provided by the Church
Behavioural factors
Level of knowledge of content of HIS forms Very good for tuberculosis HIS, low for staff working in ward Very good for tuberculosis HIS, low for staff working in ward
Data quality checking skills Good for the TDTC nurse Good for the TDTC nurse
Routine data rarely checked Routine data checked by the Director
Competency in HIS tasks Low Low
Motivation Very high for the TDTC staff Very high for the TDTC staff
Low for other staff Low for other staff
Problem solving tasks Only raw data transmitted Only raw data transmitted
Processes
Data collection Data rigorously filled in tuberculosis registers Data rigorously filled in tuberculosis registers
Incomplete routine data collection Incomplete routine data collection
Data processing All quarterly tuberculosis reports done since 2003 All quarterly tuberculosis reports done since 2003
Lot of missing routine reports All routine monthly reports done since 1998
Routine reports not done since 2006
Data analysis Little analysis Little analysis
Data transmission Completeness : 100% for tuberculosis reports Completeness : 100%
Routine information transmitted only to the faith-based hierarchy Only the 2010 routine reports sent to the district level
Data display No No
Data quality checking Yes for tuberculosis reports Yes for tuberculosis reports
No for routine reports Rarely for routine reports
Feedback to ward nurses No No

Keugoung et al.

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

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