Using Quality Improvement Method to Improve TB Program: A Pilot Project of 10 Sub-Districts of South Africa

Abstract

The 2017-2022 National TB Program’s strategic plan calls for a 50% reduction in TB deaths by 2022 and a 30% reduction in TB incidence. To achieve these ambitious targets, the SA health system needs to build a reliable system to find, test, diagnose, start treatment, and retain patients in care. The health system also needs to develop unprecedented convergence of the TB and HIV care systems that are currently managed separately. These goals can be achieved through a health systems design that improves the reliability of a discrete set of processes along the cascade of care in the primary health sector, community as well as in hospitalized patients.