Monitoring and Evaluation of Program Performance and Management Control System of Tuberculosis: A Ten-Year Cross-Sectional Study in Sistan and Baluchestan Province, Iran

Abstract

The aim of this study was to monitor and evaluate the program performance and management control system of tuberculosis in Sistan and Baluchestan Province by comparing the annual indicators over ten years. This descriptive study was performed in the health departments of the province, using the records of tuberculosis patients during 2006 -2016. Data were analyzed in SPSS version 23. The lowest rate of smear-positive pulmonary tuberculosis was reported in 2011 (27.23%). Based on the findings, the incidence of new cases of smear-positive pulmonary tuberculosis showed a downward trend during 2006 -2016. The highest incidence of new smear-positive pulmonary cases was reported in 2006 (1.69%). According to the findings, to achieve a high success rate in tuberculosis management, revisions are needed in control programs and training workshops for healthcare personnel. Tuberculosis can be eliminated through correct implementation of directly observed treatment, short-course (DOTS) strategy, implementation of educational and tuberculosis drug programs, and use of correct management policies.

Facilities and difficulties in implementation of the tuberculosis control program in Primary Health Care

“…The Family Health Strategy is the preferred gateway for users to treat the disease, where embracement is carried out through comprehensive assistance providing the link between user and health professional. Studies have found that difficulties in accessing US can delay diagnosis and reduce the success of treating the disease 20,21 .…”

The effect of sputum smear grade on the anatomical position of lung involvement: A cross-sectional study

“…There was also no relationship between increasing or decreasing age and smear grading. In other studies, children under 15 years old were in the study group and therefore due to differences in the study population it is not possible to compare the results [4][5][6] . Most patients were from Zabol city (52.5%) and the least were from Hamoon and Helmand cities (2%).…”

The economic burden of tuberculosis in Sistan: a high‐risk region in Iran

“…The reduced TB prevalence in Iran is the result of the efforts made by the Ministry of Health and Medical Education (MoHME) in some major sectors, including the initiation of the BCG vaccination programme, the development of a national TB programme, implementing the DOTS strategy in 1997 and implementing a TB control programme in prisons [12]. Despite the decreasing trend of mortality due to TB in 2006-2016 [13], the incidence of TB is reported 14 per 100 000 in Iran [14], and Sistan and Baluchestan Province and Golestan Province still have the highest number of people with TB [15,16]. Neighbouring countries Pakistan, Afghanistan and Iraq, which have the highest numbers of TB cases [17], and poverty, which is a challenge to the control of this disease [18,19], have made the Sistan region of Sistan and Baluchestan Province a centre of TB in Iran in recent years 4.…”