RESUMEN
Following an operational research study in Zomba Central Prison, Malawi, in 1996, the National Tuberculosis Control Programme (NTP) and the Prison Medical Services worked together to improve the diagnosis and treatment of tuberculosis (TB) in prisoners. Prisoners are screened for TB on admission and during their prison sentences. A system was established of treating patients, according to NTP guidelines, while in prison and on discharge from prison. Monitoring and evaluation is undertaken using TB officers at district and regional level, and 6-monthly meetings are held with all stakeholders and the central unit to collate data and review prison TB control activities.
Asunto(s)
Política de Salud , Prisiones , Desarrollo de Programa , Práctica de Salud Pública , Tuberculosis Pulmonar/prevención & control , Terapia por Observación Directa , Humanos , Malaui/epidemiología , Prisiones/estadística & datos numéricos , Resultado del Tratamiento , Tuberculosis Pulmonar/diagnóstico , Tuberculosis Pulmonar/epidemiologíaRESUMEN
Forty-four tuberculosis (TB) officers who attended the National TB Seminar were given a multiple choice questionnaire (MCQ), based on information in the TB manual. They were asked to complete the MCQ in their hospitals, using the manual, and return it within 6 weeks to the Central Unit. Thirty-one (70%) officers returned completed MCQs. There was negative marking for incorrect answers. The mean mark was 69%. Twelve (39%) officers scored 80% or higher and four (13%) scored below 50%. MCQ assessments may be a useful way of stimulating TB officers to read TB manuals and other guidelines.