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Task Order 10: New model for assessing TB surveillance and action performance and cost

Task Order 10 is an evaluation of TB surveillance and the assessment of activities using a new conceptual framework that will lead to the accurate and successful collection of program data. It will also involve an assessment of program cost to refine and implement a standard, user-friendly tool that can be used to target and enhance the efficiency of program interventions.

Sites

ALA Chicago in collaboration with ALA Tallahassee and Florida Department of Health Bureau of TB and Refugee Health, University of North Texas Health Science Center

Study Objectives

  1. Develop a new TB surveillance and action evaluation strategy (including tools) applicable for all state and local TB programs.
  2. Develop and implement monitoring and evaluation (M&E) model and tool set that measure both the performance and cost
  3. Design interventions targeted for improved performance and cost efficiency.

Study Design

TO10 activities are divided into three phases: operational research, formative evaluation, and tool development. During Phase I, contractors produce an extensive library cataloging indicators from federal, state and county-level programs and develop standard programmatic and financial assumptions based upon comprehensive literature reviews. During Phase II, the Florida Department of Health will conduct focus groups with TB public health workers from county and state levels to review existing indicators and solicit feedback related to the utility, feasibility, propriety, accuracy, and flexibility of the tools. At the same time, University of North Texas Health Science Center will perform studies to validate the personnel and time-related assumptions. The contractors will also gather and analyze evaluation data at the state, district, and county levels to validate the performance and cost evaluation at all levels of public health surveillance and action. During Phase III, contractors will use the findings from Phases I and II of the project to develop tools and to ensure that the tools are meaningful, valid and fully functional for each programmatic level.

Study Progress

Task Order 10 is in Phase III and has focused on the development of a TB program economic decision support tool and a TB program cost and performance analysis tool. Initial focus groups were conducted at the district and local levels to gain feedback on the tools and to validate the tools. After introducing the draft tools at a semi-annual TBESC meeting and asking for feedback, several of the stakeholders invited the TO10 team members to visit their sites to test the application of the tools with their program-specific data and to provide an overview and demonstration of the customization and implementation of the tools. The University of North Texas Health Science Center is currently planning the 3rd economic meeting in October 2007 to discuss methods, share results, and plan future economic approaches. Task Order 10 is also preparing several manuscripts.

 
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