Quality of TB Care
This course addresses the critical need to go beyond coverage and improve quality of TB care in LMICs – since 2019
In order to end TB, we need to increase access to TB care and simultaneously ensure that the care provided is of sufficiently high quality (i.e. care that is safe, effective, patient-centered, timely, efficient, and equitable). There is plenty of evidence that quality of TB (and TB-HIV coinfection and MDR-TB) care is poor in many settings, and this is a key reason for the high mortality rate seen in LMICs. This means National TB programs need to think beyond coverage of TB services; they need to start measuring and systematically improving quality of TB care in LMICs. This course includes discussions on the best approaches to measurement of quality of TB care, review of data on quality of TB care and factors that drive variation in care, exploration of quality of TB care in private vs. public sectors, examples of quality improvement programs in TB as well as other areas of global health (e.g. from HIV/AIDS) that have worked or failed through case study lessons, use of quality dashboards, audits and tools, and their likely impact on quality, strategies for understanding and overcoming the pervasive know-do gap, including training, mentoring, incentives, and system-wide changes for high-quality health systems. This course is part of the McGill Summer Institute in Infectious Diseases and Global Health.