Proportion of health care and congregate settings that have a TB infection control policy

Export Indicator

Percent of health care facilities and/or congregate settings with a written infection control policy
What it measures

To ensure that facility-level policy exists to minimize the risk of transmission of TB in settings where PLWHA are concentrated, such as primary health care clinics, hospitals, prisons.

Rationale
Numerator

Number of health care facilities and/or congregate settings (e.g. prisons, refugee camps, military barracks) with a written infection control policy for TB that is consistent with international guidelines

Denominator

Total number of health care facilities and/or congregate settings evaluated.* *Also give the total number of each type of facility nationally to indicate the proportion evaluated.

Calculation
Method of measurement

Facility-level review of written infection control policy with yes/no answers to the following:
1. Is there a written infection control policy?
2. Is the definition of a TB suspect clearly defined and consistent with national TB policy?
3. Is there clear guidance on the rapid investigation of TB suspects?
4. Is there guidance on how to separate TB suspects from those at risk of TB infection?
A positive response to all questions is required for a facility to be identified as having a TB infection control policy that is consistent with international guidelines.

Measurement frequency

Annual

Disaggregation

Age group:

Education: N/A

Gender: N/A

Geographic location: N/A

Pregnancy status: N/A

Sector: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

The existence of a written infection control policy that addresses TB and is consistent with international guidelines is the first basic step in ensuring TB infection control in health care and congregate settings where HIV prevalence is high. However, the existence of a policy does not mean that it is effectively implemented. Further inquiry will be needed to establish whether the infection control policy is implemented and adhered to. Analysis of policy involves subjective judgement, which can limit its use in cross-national comparisons and for capturing trends over time. This indicator goes a step beyond measuring the simple existence of an infection control policy by defining standards that must be met in order for there to be an acceptable policy that addresses the issue of control of TB infection in health care and congregate settings with a high HIV prevalence according to international guidelines – thus eliminating some, though not all, subjective judgement.

Further information