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Quality Improvement Rapidly Increased TB Case Finding at a Rural Health Centre: Results from Nakawuka Health Centre III in Wakiso District
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With a monthly attendance of approximately 1,500 patients, the Nakawuka Health Centre III (HC III), a health facility located in central Uganda, was expected to diagnose 15 new TB cases monthly. However, the facility had not identified any case over the course of three months (January-March 2018).
The low case detection was a result of passive TB screening at the facility entry points, a poor referral system for presumptive TB cases to the laboratory, lack of a focal person coordinating TB activities at the health facility, and poor recording in the data tools provided.
In April 2018, the USAID Defeat TB project supported Wakiso District to implement quality improvement (QI) approaches at the facility with a focus on building capacity of health workers to improve the quality of TB services. At the facility, the management met with QI mentors to evaluate the facility performance, then formed a QI team, chose a TB focal person, and set a QI objective of increasing TB case notification.