Date of Conferral

2020

Degree

Ph.D.

School

Health Services

Advisor

Gudeta D. Fufaa

Abstract

Tuberculosis (TB) is a major health issue estimated to be affecting about 1/3 of the world’s population. TB is a major health problem in Ghana primarily because of weak health infrastructure and poor TB case detection and management practices. Measuring and evaluating the performance of health programs is an important aspect of health care services in any country. The purpose of this quantitative study was to evaluate the TB management program in Ghana. A cross-sectional research design was used to answer the research questions. Secondary data were obtained from the Ghana District Health Information Management System database. The theoretical foundation used for this study was the performance measurement model that links accountability and performance measurement. The research questions sought to determine if there is an association between socioeconomic status, education, employment status, health facility location, number of trained health workers, ethnicity/tribe, and TB treatment completion in Ghana. The results of logistic regression and a chi-square test show that number of trained healthcare workers and health facility location significantly predicts the odds of treatment completion among TB patients. The findings from this study may provide crucial information for improving service delivery for TB patients and may contribute to long-term global TB elimination. Results can also serve as a basis for developing guidelines.

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