Quality of comprehensive assessment among severely ill TB patients referred after triaging in southern India

Quality of comprehensive assessment among severely ill TB patients referred after triaging in southern India

To reduce TB deaths, Tamil Nadu, a southern Indian state, implemented the first state-wide differentiated TB care strategy starting April 2022. Triage-positive severely ill patients are prioritised for comprehensive assessment and inpatient care. Routine program data during October-December 2022 rev...

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Published in:Public health action Vol. 14; no. 1; pp. 3 - 6
Main Authors: Shewade, H. D., Frederick, A., Pradeep, S. Kiran, Rajasekar, T. Daniel, Kiruthika, G., Bhatnagar, T., Suma, K. V., Ravichandran, P., Gayathri, K., Vijayaprabha, R., Pathinathan, D. P., Chidambaram, D., Sivagami, K., Janani, R. K., Selvavinayagam, T. S., Ramachandran, R., Murhekar, M. V.
Format: Journal Article
Language:English
Published: France International Union Against Tuberculosis and Lung Disease 01-03-2024
The Union
Subjects:
Assessment Quality
Clinical Assessment
India
Operational Research
Severe Tb
Tnket
severe TB
clinical assessment
TNKET
assessment quality
operational research
India
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Summary:To reduce TB deaths, Tamil Nadu, a southern Indian state, implemented the first state-wide differentiated TB care strategy starting April 2022. Triage-positive severely ill patients are prioritised for comprehensive assessment and inpatient care. Routine program data during October-December 2022 revealed that documentation of total score after comprehensive assessment was available in only 39%, possibly indicating poor quality of comprehensive assessment. We confirmed this using operational research. The case record form to record comprehensive assessment was used only in 26% and among these, the completeness and correctness in filling out the form were sub-optimal. There is a clear need to enhance the quality of comprehensive assessments.
Bibliography:2220-8372(20240301)14:1L.3;1-
ObjectType-Article-1
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ISSN:2220-8372
2220-8372
DOI:10.5588/pha.23.0051