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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