The Quality of Tuberculosis Services in Health Care Centres in a Rural District in Uganda: The Providers’ and Clients’ Perspective

Table 7

General quality performance of Kamuli district health facilities as judged against guidelines/indicators.

Health facility	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	Total score
H (Hospital)	2	1	2	2	1	1	3	2	2	2	1	2	2	3	3	28
G (Hospital)	2	1	2	2	1	1	2	2	3	1	1	2	1	3	2	26
F (HCIV)	2	—	—	2	2	2	3	2	—	—	2	2	1	1	1	20
E (HCIV)	1	1	1	2	1	1	2	1	3	1	1	2	1	2	2	22
D (HCIII)	2	2	1	2	1	1	3	2	1	1	1	2	1	2	2	24
C (HCIII)	2	1	1	2	1	1	2	1	2	1	1	2	1	1	1	20
B (HCIII)	2	1	1	2	1	1	1	1	3	1	1	2	1	1	1	20
A (HCIII)	2	1	1	2	1	1	2	2	2	1	1	2	1	1	1	21
Total score	15	8	9	16	9	9	18	13	16	8	9	16	9	14	13

Note: for both the health facilities and guidelines, least performance score implied good quality services while the greatest score implied poor quality services offered by a facility.
Key:
a-every staff participates on identification of tuberculosis cases, B-waiting to receive laboratory result, C-waiting time to receive treatment, D-two ZN tests done for every suspect, E-system of identifying coughing clients from waiting, areas, and other places, F-system of tracing lost clients, G-assessing every patient with at least one test, H-is every TB client on DOTs? I-TB patients aware of adverse effects/side effects of TB drugs, J-every suspect advised to test, for HIV, K-cases notified, L-number of patients cured, M-number of treatment failures, N-number of patients who defaulted, O-number of patients who died.