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Table 3 Framework for assessing the effects of the NTCP on the routine HIS of DHs

From: The interface between the national tuberculosis control programme and district hospitals in Cameroon: missed opportunities for strengthening the local health system –a multiple case study

Factors

Domain

Data collected

Sources of information

Technical factors

Reporting system

Type of new tools introduced by the NTCP and their use

Interviews

Availability of tuberculosis and routine information tools

Observation

 

Designer of reporting forms

Designer of the routine information system

Interviews

Changes in the design of routine information after TDTC creation

 

Complexity of the reporting forms

Complexity of the tuberculosis and routine information tools

Interviews

 

Procedures

Rules for tuberculosis and routine data collection,analysis and transmission

Document review

Changes in routine HIS procedures following the creation of the TDTC

Interviews

Organisational factors

Information distribution

Type of reports sent by the hospital before and after the creation of the TDTC

Interviews

Services receiving hospital reports

 

Interest devoted to reporting

Motivation of the TDTC staff for reporting

Interviews

Motivation of the ward staff members for reporting

 

Quarterly HIS supervision

Staff members supervised in the use of thetuberculosis HIS (frequency)

Interviews Observation

Staff members supervised in the use of the routine HIS (frequency)

 

Training

Training received on HIS management: trainees and date

Interviews

Behavioural factors

Level of knowledge of content of HIS forms

Staff members involved in monthly routine reporting

Interviews

Knowledge of the content of HIS tools by hospital staff

 

Skills

Skills in data collection, processing and analysis

Interviews

 

Motivation

Level of motivation

Interviews

Processes

Data collection

Data completeness in registers (tuberculosis and routine care data)

Observation

 

Data processing

Availability of tuberculosis and routine reports(period) at the hospital level

Observation

 

Data analysis

Type of analysis conducted on tuberculosis data and on routine data

Interviews Document review

 

Data transmission

Availability of tuberculosis and routine reports (period)at the district and regional levels

Interviews Observation

 

Data display andfeedback to nurses

Type of data displayed (for tuberculosis and routine care data)

Observation

 

Data quality checking

Procedures of data checking and actors involved

Interviews