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Table 9 Missed opportunities for building synergies between the NTCP and local health systems

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

Domains Missed opportunities
Human resources Recruitment of additional staff
Identification of training needs for DHs and health centres staff members
Organisation of in-service training with the support of regional disease control programmes managers
Reinforcement of competencies of the district management teams in organizing, monitoring and evaluating tuberculosis control activities
Implication of district management teams in the supervision of TDTC
Health Information System (HIS) Standardisation of routine data collection tools for all DHs
Elaboration of a unique data reporting tools that bundles routine and programmes’ data
Development of software for managing health data at DH and DHS levels
Utilisation of the electronic system for data transmission and feedback between DHs, DHS and regional programme coordinations
Reinforcement of capacities of district management teams and DH staff in the management of HIS for decision-making
Technical capacity Identification of hospital technical needs and allocation of resources on the basis of hospital needs
Submission of health system strengthening proposals to the Global Fund against HIV/AIDS, tuberculosis and malaria
Health service delivery Organization of the referral system
  Development of the collaboration between HIV/AIDS and tuberculosis care at facility level