Table 6 Effects of NTCP on the level of human resources for health of the DHs A and B
Health service provision | District hospital A | District hospital B |
|---|---|---|
Stock of personnel | No additional staff recruitment | No additional staff recruitment |
Criteria for identifying the TDTC staff | Availability, seriousness, obligingness | Availability, seriousness, obligingness |
Internal migration from general health care to TB activities | Since 2008, one assistant nurse dedicated to the TDTC | Partial migration: the TDTC nurse was head of a ward (surgery from 2003 to 2008 and medicine since 2009) |
One laboratory technician dedicated to sputum smear processing | ||
Labour force activity | Detection of suspect tuberculosis patients by consulting nurses Processing of sputum smears by a dedicated laboratory technician | Detection of suspect TB patients mainly by medical doctors |
Drugs dispensation, follow up of hospitalized tuberculosis patients and reporting by the TDTC nurse | Processing of sputum smears by all laboratory technicians | |
Chest radiography by a specialized nurse | Drugs dispensation and reporting by head nurse of the medicine ward | |
human resources generation | ||
Earnings | No staff paid by the NTCP | No staff paid by the NTCP |
Incentives | 15000 FCFA given to the TDTC nurse per trimester since 2010 | 15000 FCFA given to the TDTC nurse per trimester since 2010 |
Fees for sputum smear managed by the TDTC nurse | Fees for sputum smear included in hospital revenues | |
Productivity | No patient increase following the TDTC creation | No patient increase following the TDTC creation |
Education and training | Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff | Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff |
Workshops organized on tuberculosis care for TDTC staff and hospital managers | Workshops organized on tuberculosis care for TDTC staff and hospital managers | |
Quarterly supervision of the TDTC staff by the NTCP coordinators | Quarterly supervision of the TDTC staff by the NTCP coordinators |