Table 6.
Effects of NTCP on the level of human resources for health of the DHs A and B
| Health service provision | District hospital A | District hospital B |
|---|---|---|
| Stock of personnel |
No additional staff recruitment |
No additional staff recruitment |
| Criteria for identifying the TDTC staff |
Availability, seriousness, obligingness |
Availability, seriousness, obligingness |
| Internal migration from general health care to TB activities |
Since 2008, one assistant nurse dedicated to the TDTC |
Partial migration: the TDTC nurse was head of a ward (surgery from 2003 to 2008 and medicine since 2009) |
| One laboratory technician dedicated to sputum smear processing | ||
| Labour force activity |
Detection of suspect tuberculosis patients by consulting nurses Processing of sputum smears by a dedicated laboratory technician |
Detection of suspect TB patients mainly by medical doctors |
| Drugs dispensation, follow up of hospitalized tuberculosis patients and reporting by the TDTC nurse |
Processing of sputum smears by all laboratory technicians |
|
| Chest radiography by a specialized nurse |
Drugs dispensation and reporting by head nurse of the medicine ward |
|
|
human resources generation |
|
|
| Earnings |
No staff paid by the NTCP |
No staff paid by the NTCP |
| Incentives |
15000 FCFA given to the TDTC nurse per trimester since 2010 |
15000 FCFA given to the TDTC nurse per trimester since 2010 |
| Fees for sputum smear managed by the TDTC nurse |
Fees for sputum smear included in hospital revenues |
|
| Productivity |
No patient increase following the TDTC creation |
No patient increase following the TDTC creation |
| Education and training |
Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff |
Competencies gained on counselling, treatment of respiratory tract infections, smear processing and reading of slides on microscope by trained staff |
| Workshops organized on tuberculosis care for TDTC staff and hospital managers |
Workshops organized on tuberculosis care for TDTC staff and hospital managers |
|
| Quarterly supervision of the TDTC staff by the NTCP coordinators | Quarterly supervision of the TDTC staff by the NTCP coordinators |