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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