Table 3 Conceptual framework for indicators for TB health promotion among Health policymakers and TB HCWs
Domain | Subdomain | Indicator | Measure | Data collection |
|---|---|---|---|---|
Policymakers | ||||
Resource inputs | Human resources | (Full time/part time) Human resources per 100,000 people | Number of full-time/part-time personnel (physicians, nurses) for TB control per 100 000 people (physicians/nurses/technicians per 100,000 people) and the quality of human resources | Review of documents and records in the department of human resources in the TB unit |
Financial resources | Special funds for TB control/person | Input of funds for TB control per person (RMB Yuan per person) | Review of documents in the financial department of the TB unit | |
Funds for infrastructural construction in the past 5 years | Funds for infrastructural construction in the past 5 years (RMB Yuan) | Document and record review in TB-control health facilities | ||
Funds for infrastructural construction during the evaluation | Funds for infrastructural construction during the evaluation (RMB Yuan) | Document and record review in TB-control health facilities | ||
Policymaking and monitoring behaviors | Policymaking | Percentage of meetings assigned to TB control in the workplace | Percentage of meetings assigned to TB control overall in work meetings, which evaluated attention of policymakers to TB control | Document and record review |
Percentage of policies made for TB control | Percentage of policies made for TB control (including policies for health insurance, free treatment, poverty alleviation, HCW incentives, activation of multi-sector participation in TB control, strategy, and guidelines) | Document review | ||
Rate of satisfaction with policy (in terms of funding, making, implementing, monitoring) | Rate of satisfaction with policy funding, policymaking, policy implementation, and policy monitoring | Policy implementation and beneficiary survey | ||
Percentage of policies made on the basis of evidence | Percentage of policies made based on evidence | Document and record review | ||
Percentage of policies made through a bottom-up approach | Percentage of policies made through a bottom-up approach | Document and record review | ||
Percentage of policies with measures to assess input, output, outcome, and impact | Percentage of policies that included measures to assess input, output, outcomes, and impact | Document and record review | ||
Percentage of policies with measures to promote cooperation of relevant sectors for policy implementation | Percentage of policies that included measures to promote cooperation of relevant sectors for policy implementation | Document and record review | ||
Surveillance of policy implementation | Percentage and number of policies monitored | Percentage and number of policies that were monitored and evaluated when implemented | Document and record review | |
Number of documents/policies on Surveillance | Number of policy and strategy related to surveillance of related policy implementation | Document and record review | ||
TB HCWs | ||||
Self-protective behavior | Breaking the chains of transmission (Preventing infection) | Average hours spent daily on workplace disinfection by ultraviolet radiation everyday | Average hours spent on disinfecting the workplace by ultraviolet radiation each day in TB-control health facilities | HCW survey and observation study on HCWs |
Percentage of doctors who ventilate the workplace | Percentage of clinic doctors who ventilated the workplace every day in TB-control health facilities | HCW survey and observation study on HCWs | ||
Percentage of doctors who consistently wear N-95 respirators | Percentage of clinic doctors who wore N-95 respirators daily when working in TB-control health facilities | HCW survey and observation study on HCWs | ||
Behaviors related to TB patient diagnosis | Implementing clinic guidelines in TB patient diagnosis | Percentage of patients diagnosed by implementing clinic guidelines | Percentage of patients diagnosed by implementing clinic guidelines in TB-control health facilities | TB patient survey and clinic records review |
Behaviors related to tracing TB suspects | Tracing TB suspects referred by non-TB control health facilities | Percentage of TB suspects successfully traced | Percentage of TB suspects successfully referred to TB-control health facilities. | Clinic record review |
Behaviors related to TB patient treatment | Implementing Standardized chemotherapy | Percentage of patients treated with standard treatment regimens | Percentage of patients who received standard treatment regimens recommended by WHO | TB patient survey and clinic record review |
Monitoring treatment | Percentage of patients covered by DOT | DOT refers to a standardized treatment regimen directly observed by an HCW or a community health worker for at least the first two months. | TB patient survey and clinic record review | |
Behaviors related to TB health education | Content of health education | Percentage of patients who received information on free treatment policy | Percentage of patients who received information about the TB free-treatment policy and who accurately understood this policy. | TB patient survey |
Percentage of patients who received information on importance of adhering to treatment | Percentage of patients receiving information on adherence to TB treatment and who accurately understood the importance of adhering to TB treatment. | TB patient survey | ||
Percentage of patients who received information on regular follow-up sputum microscopy | Percentage of patients receiving information about regular follow-up sputum microscopy and who accurately understood the importance of regular follow-up sputum microscopies. | TB patient survey | ||
Percentage of patients who received information on managing side-effects of anti-TB drugs | Percentage of patients who received information about managing side-effects of anti-TB drugs and who accurately understood the management of these side-effects. | TB patient survey | ||
Percentage of patients who received information on a healthy lifestyle | Percentage of patients who received information about a healthy lifestyle to complement TB treatment and who accurately understood how to maintain this healthy lifestyle | TB patient survey | ||
Percentage of patients who received information on preventing TB transmission | Percentage of patients who received information about preventing TB transmission and who accurately understood how to prevent TB transmission | TB patient survey | ||
Time on health education | Length of time spent on health education with each patient | Length of time spent on health education with each TB patient | TB patient survey, HCW observation study | |