Table 1.
Framework to monitor health system factors at 4 decentralised MDR-TB sites.
Table 2.
Examples of Indicators with measurement and scoring systems.
Table 3.
Scores allocated for health system factors at the 4 decentralised sites.
Table 4.
Treatment outcome definitions*.
Table 5.
Treatment outcomes of patients with MDR-TB treated at 4 decentralised sites in KwaZulu-Natal, South Africa*.
Figure 1.
Breakdown of total health systems performance score by domain at 4 decentralised MDR-TB sites.
The four sites are plotted on the X-axis and the health system performance score on the Y-axis. Health system performance is the sum (cumulative score) of the four different domains (output, mechanism, integration and context), which are shaded differently. Site 1 had the highest score of 132 which comprised scores of 32 for the output domain, 31 for the mechanism domain, 40 for the integration domain and 29 for the context domain.
Figure 2.
Association between successful treatment outcomes and total health systems performance score at 4 decentralised MDR-TB sites.
This figure shows the association between successful treatment outcomes and total health systems performance score. The percentage of successful treatment outcomes is plotted on the Y-axis and the health performance score on the X-axis. From the graph it can be seen that Site 1 had the highest treatment success and highest total health system performance score. Sites 2, 3 and 4 can be seen to have lower health system performance scores and lower rates of treatment success. This graph shows there was an association between successful treatment outcomes and total Health System Performance score (r = 0.99) and that this association was significant (p<0.01).
Table 6.
Correlation between health system performance and successful treatment outcomes for each domain for MDR-TB patients treated at 4 decentralised sites.