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Improving tuberculosis infection control in the Mossel Bay sub-district of the Western Cape : a quality improvement project

dc.contributor.advisorVon Pressentin, Klaus B.en_ZA
dc.contributor.advisorJenkins, Louis S.en_ZA
dc.contributor.authorMekebeb, Martha Bedeluen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Emergency Medicine.en_ZA
dc.date.accessioned2018-10-24T08:08:14Z
dc.date.accessioned2018-12-07T06:48:41Z
dc.date.available2018-10-24T08:08:14Z
dc.date.available2018-12-07T06:48:41Z
dc.date.issued2018-12
dc.identifier.urihttp://hdl.handle.net/10019.1/104874
dc.descriptionThesis (MFamMed)--Stellenbosch University, 2018.en_ZA
dc.description.abstractENGLISH SUMMARY : Introduction: Tuberculosis (TB) is a major global health challenge, and South Africa is one of the high-burden countries. A national TB infection control (TBIC) guideline has stipulated three main areas of infection control at health facilities: work practice and administrative control; environmental control; and personal protection for health workers. The purpose of this project was to identify the gaps and address the challenges in TB infection control in the Mossel Bay sub-district in the Western Cape. Methods: A quality improvement cycle was used to evaluate and improve TBIC according to the national TBIC draft guideline. Two facilities within the sub-district were used, the district hospital and a primary health care clinic. Each had an existing infection and prevention control and occupational health and safety team, which were used as the audit teams. Results: A baseline assessment was followed by a set of interventions, which failed to show a significant improvement in TBIC. The difference between the pre- and post-intervention TB screening rate was not statistically significant. An assessment of time interval between 101 patients presenting with TB symptoms and diagnosed with TB was four days at baseline and post-intervention. Most of the anticipated improvements were dependent on the health workers’ adherence to the local TBIC policies, which emerged as an unexpected finding. Conclusion: The study found good managerial commitment reflected by the presence of various policies, guidelines, specific personnel and committees to deal with infection control in general. The project has created awareness about tuberculosis infection control among the staff. It also pointed out the complexity of health workers’ behaviour towards adhering to policies.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING : Geen opsomming beskikbaar.af_ZA
dc.format.extent24 pages ; illustrations
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch University
dc.subjectTuberculosis -- Incidence -- Mossel Bay (South Africa)en_ZA
dc.subjectTuberculosis -- Prevention -- Mossel Bay (South Africa)en_ZA
dc.subjectPublic hospitals -- Mossel Bay (South Africa)en_ZA
dc.subjectPrimary health care -- Mossel Bay (South Africa)en_ZA
dc.subjectUCTD
dc.titleImproving tuberculosis infection control in the Mossel Bay sub-district of the Western Cape : a quality improvement projecten_ZA
dc.typeThesisen_ZA
dc.rights.holderStellenbosch University


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