Adapting a generic tuberculosis control operational guideline and scaling it up in China: a qualitative case study

Xiaolin Wei; Walley, John D.; Xinyuan Liang; Feiying Liu; Xiulei Zhang; Renzhong Li
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p260
Academic Journal
Case Study
Background: The TB operational guideline (the deskguide) is a detailed action guide for county TB doctors aiming to improve the quality of DOTS, while the China national TB policy guide is a guide to TB control that is comprehensive but lacks operational usability for frontline TB doctors. This study reports the process of deskguide adaptation, its scale-up and lessons learnt for policy implications. Methods: The deskguide was translated, reviewed, and revised in a working group process. Details of the eight adaptation steps are reported here. An operational study was embedded in the adaptation process. Two comparable prefectures were chosen as pilot and control sites in each of two participating provinces. In the pilot sites, the deskguide was used with the national policy guide in routine in-service training and supervisory trips; while in the control sites, only the national policy guide was used. In-depth interviews and focus groups were conducted with 16 county TB doctors, 16 township doctors, 17 village doctors, 63 TB patients and 57 patient family members. Following piloting, the deskguide was incorporated into the national TB guidelines for county TB dispensary use. Results: Qualitative research identified that the deskguide was useful in the daily practice of county TB doctors. Patients in the pilot sites had a better knowledge of TB and better treatment support compared with those in the control sites. Conclusion: The adaptation process highlighted a number of general strategies to adapt generic guidelines into country specific ones: 1) local policy-makers and practitioners should have a leading role; 2) a systematic working process should be employed with capable focal persons; and 3) the guideline should be embedded within the current programmes so it is sustainable and replicable for further scale-up.


Related Articles

  • WEBWISE. Evans, Roger // Nursing Standard;5/29/2013, Vol. 27 Issue 39, p28 

    The article reviews the web site of the Public HealthAction Support Team, located at www.phast.org.uk.

  • Get connected.  // Children & Young People Now (Haymarket Business Publications Ltd;8/10/2010, p24 

    A calendar of events for the Great Britain area from August 2010 to March 2011 is presented including the Families Going Forward five-day training course, the Wellbeing from Birth training course and the Our Voices, Our Health: Young People in Public Health Research innovative free event.

  • Association's Governing Council conducts votes in New Orleans. Late, Michele // Nation's Health;Jan2015, Vol. 44 Issue 10, p25 

    The article discusses the policy statements adopted by the Governing Council of the American Public Health Association (APHA) during the association's 142nd Annual Meeting and Exposition in New Orleans, Louisiana in November 2014. Topics covered include a public health-based approach to...

  • Evaluation of tuberculosis control programme in Khartoum State for the year 2006. SULEIMAN, M. M. AHMED; ARO, A. R.; SODEMANN, M. // Scandinavian Journal of Public Health;Jan2009, Vol. 37 Issue 1, p101 

    Background: Tuberculosis (TB) is among the top ten causes of global mortality. Sudan is among the countries with high TB prevalence; with an estimated incidence of 90/100,000 smear-positive cases. In 1993, the Khartoum State tuberculosis control programme was established. Since its...

  • Tuberculosis in the Sierra Santa Marta, Veracruz. Montero-Mendoza, Elda; Zapata-Martelo, Emma; Vázquez-García, Verónica; Nzar-Beutelspacher, Austreberta; Sánchez-Pérez, Héctor Javier // Women's Studies Quarterly;Spring/Summer2003, Vol. 31 Issue 1/2, p105 

    Explores how the interplay between economic and gender factors shapes women's and men's perceptions of disease, search for attention and likelihood of success in treatment. Prevalence of tuberculosis in Veracruz, Mexico; Models that explain causes and symptoms of disease in different ways;...

  • Progress towards tuberculosis control, India, 2001.  // Weekly Epidemiological Record;3/22/2002, Vol. 77 Issue 12, p89 

    Discusses the outcome of the national tuberculosis (TB) control program (RNTCP) in India. Incidence and prevalance of TB; Components of RNTCP; TB diagnosis; Service quality and treatment outcomes of RNTCP; Drug trials for TB treatment.

  • Community-based TB control in Myanmar: Cost and contribution of TB patient Self Help Groups. Wai Wai Han; Saw Saw; Lwin, Thandar; Thet Aung; Tin Mi Mi Khaing // Nepal Journal of Epidemiology;2014, Vol. 4 Issue 2, p5 

    An abstract of the article "Community-based TB control in Myanmar: Cost and contribution of TB patient Self Help Groups," by Wai Wai Han and colleagues is presented.

  • Cost-effectiveness analysis of tuberculosis control policies in Ivanovo Oblast, Russian Federation. Migliori, G.B.; Khomenko, A.G. // Bulletin of the World Health Organization;1998, Vol. 76 Issue 5, p475 

    Reports on the economic analysis of a pilot tuberculosis (TB) control project based on World Health Organization strategy being implemented in Ivanovo Oblast, Russia. Cost per case cured; Cost per case detected; Requirements of Russia's TB control.

  • City Life in Relation to Tuberculosis: A Plea for Better Surroundings for Factories and Better Homes for the Working Classes.  // American Journal of Public Health;Mar2010, Vol. 100 Issue 3, p420 

    An excerpt is presented from the article "City Life in Relation to Tuberculosis: A Plea for Better Surroundings for Factories and Better Homes for the Working Classes," by Isaac W. Brewer, which was published in a 1913 issue of "American Journal of Public Health."


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics