Use of reminder cues in TB treatment registers improves sputum monitoring

Author: 
Anthony Musisi
Date: 
Wednesday, June 25, 2014
Topics: 
Context: What was the issue or process affected? What was the root cause of the challenge?: 

Pulmonary TB points at Soroti RRH are supposed to have sputum checks at 2, 5 and 8 months. There was low coverage during these months because TB service providers forgot to request for these tests.

What Happened: How was the challenge or gap addressed or improved?: 

Teams discussed the problem and thought of establishing a reminder cue. The reminder cue involved marking/flagging off the 2, 5 and 8 month columns in the TB register with red ink. All staff were oriented on requesting for sputum before crossing the red line.

Nugget: What is the lesson for others?: 

Highlighting the 2, 5 and 8 month columns in the TB register as a reminder cue for the TB care team improves coverage of sputum monitoring during TB treatment.

Impact: What are the results of applying the nugget?: 

The results are still being tracked.

Implementation: What steps are needed to apply the lesson?: 
  • Measure coverage of sputum monitoring at 2, 5, and 8 months as a baseline
  • Discuss the gap, analyze and rank the possible causes
  • Determine what extent of the gap is due to forgetfulness
  • Mark 2, 5 and 8 month columns in the register using a unique color
  • Orient staff
  • Monitor compliance
Action: Who is this for? Where does this nugget to go next?: 

TB care points in other hospitals

Contact: 
Soroti RRH TB unit in-charge, Anthony Musisi (amusisi@urc-chs.com)