quote tb light - royal tropical institute · 3. step three: calculate the quality impact scores of...

QUOTE TBLIGHT

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Contents

1. Introducing QUOTE TB Light 1.1 Why QUOTE TB Light?.................................................................................4 1.2 What is QUOTE TB Light?...........................................................................5 2. How to apply QUOTE TB Light?.....................................................................6 2.1 Step one: Establish the importance ranking of quality dimensions............6 2.2 Step two: Establish the Performance Score of the Services........................9 2.3 Step three: Calculate the Quality Impact Scores of the Care......................12 3. Where and when to use QUOTE TB Light?.....................................................13 3.1 Health Facility Level...................................................................................13 3.2 District Level.............................................................................................14 3.3 Provincial and National levelTB Program Supervision activities..............14 3.4 Operational Research Projects.................................................................14 4. Instruments for Applying QUOTE TB Light.................................................15

Annexes1. Pictogram Cards2. Questionaire3. Data Analysis Worksheets

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1. Introducing QUOTE TB Light

1.1 Why QUOTE TB Light?

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1.2 What is QUOTE TB Light?

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1. Step one: Establish the importance ranking score of the quality dimensions; R'3-7$%.'-C$8673-776'57$;R%8<$).#$3'59-3+#9$+'$

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2. How to apply QUOTE TB Light ?

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2.1 Step one: Establish the importance ranking of quality dimensions

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A. Recruitment of Participants:

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B. Instruments:

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ZG$F)+6#5+7$C).+636C)+65@$65$+"#$R%8$7"'-&9$5'+$(#$65+#.B6#N#9$+'$)77#77$+"#$C#.1'.D)53#$'1$!,$3).#$(#3)-7#$+"#A$N6&&$(#$1)D6&6).$N6+"$+"#$7-(O#3+$)59$D)A$&#)9$+'$(6)7#9$.#7-&+7G

\G$W"6&#$6+$D)A$(#$96123-&+$+'$259$'.$+.)3#$9#1)-&+#.7$N6+"65$+"#$3'DD-56+6#7$7#.B#9$(A$C).+636C)+65@$1)36&6+6#7g$+"#6.$C#.7C#3+6B#$67$B#.A$6DC'.+)5+$65$)77#7765@$+"#$b-)&6+A$'1$7#.B63#7G !

JG$*#)&+"$1)36&6+A$7+)11$C&)A$)5$6DC'.+)5+$.'&#$65$C&)5565@$1'.$c=0!_$!,$d6@"+$)59$.#3.-6+65@$.#7C'59#5+7G$*'N#B#./$9-#$+'$+"#6.$3&'7#$.#&)+6'57"6C$+'$!,$C)+6#5+7$+"#A$7"'-&9$5'+$(#$96.#3+&A$65B'&B#9$N6+"$+"#$R%87$'.$6596B69-)&$C#.1'.D)53#$)77#77D#5+$65+#.HB6#N7$+'$)B'69$)5A$(6)7G

l

C63+'@.)D$3).97$).#$-7#9$)7$D#D'.A$7-CC'.+$+'$1)36&6+)+#$+"#$.)5a65@$#P#.367#G$_P)DC&#7$'1$+"#$C63+'@.)D$3).97$3)5$(#$1'-59$+".'-@"'-+$+"67$(.'3"-.#$)59$65$?55#P$KG$F63+'@.)D$3).97$1'.$C.65+65@$)59$&)D65)+65@$3)5$(#$1'-59$'5$+"#$E8H.'DG

C. Focus Group Discussion:

!"#$+'+)&$+6D#$+'$3'59-3+$+"#$#P#.367#$7"'-&9$+)a#$)CC.'P6D)+#&A$\J$D65-+#7$+'$'5#$"'-.G$!"#$9673-776'5$7"'-&9$7+).+$N6+"$)5$65+.'9-3+6'5$1'&&'N#9$(A$+"#$.)5a65@$#P#.367#G

45+.'9-3+6'5Q$

!"#$ R%8$ 7"'-&9$ 7+).+$ N6+"$ '(+)6565@$ 651'.D#9$ 3'57#5+/$ #PC&)5)+6'5$ '1$ +"#$C-.C'7#$'1$+"#$R%8/$N"63"$b-#7+6'57$N6&&$(#$C'7#9$)59$"'N$+"#$.#7-&+7$N6&&$(#$-7#9G$?$.'-59$'1$6596B69-)&$65+.'9-3+6'57$7"'-&9$(#$3'59-3+#9$+'$C.#C).#$+"#$C).+636C)5+7$)59$+'$1)D6&6).6X#$+"#D7#&B#7$N6+"$#)3"$'+"#.G$

e)5a65@$_P#.367#Q

KG$ !"#$ C63+'@.)D$ 3).97$ ).#$ .#B6#N#9$ '5#$ (A$'5#$ )7$ +"#$ 1)36&6+)+'.$ .#D6597$ +"#$ C).+636C)5+7$'1$ +"#$b-)&6+A$96D#576'5$ 6&&-7+.)+#9$(A$ +"#$3).9G$F).+636C)5+7$).#$)7a#9$+'$+"65a$)('-+$#)3"$'1$+"#$b-)&6+A$96D#576'57$)59$+'$+.A$+'$D)a#$)5$6596B69-)&$.)5a65@$ ()7#9$ '5$ +"#6.$ 'N5$ #PC#3+)+6'57h#PC#.6#53#7$N6+"$!,$7#.B63#7G$

^G$ !"#$C).+636C)5+7$).#$)7a#9$+'$3"''7#$+"#$D'7+$6DC'.+)5+$ b-)&6+A$ 96D#576'5G$ ?$ 7"'.+$ 9673-776'5$67$ "#&9$ -5+6&$ 3'57#57-7$ 67$ .#)3"#9G$ F).+636C)5+7$).#$ +"#5$ )7a#9$ +'$ 3"''7#$ +"#$ &#)7+$ 6DC'.+)5+$b-)&6+A$96D#576'5G$?$7"'.+$9673-776'5$67$"#&9$-5+6&$3'57#57-7$ 67$ .#)3"#9G$!"#$7)D#$7+#C7$3'5+65-#$

-5+6&$)&&$565#$b-)&6+A$96D#576'57$).#$.)5a#9G$41$3'57#57-7$3)55'+$(#$.#)3"#9$+".'-@"$9673-776'5$6+$67$C'776(&#$+'$+)a#$)$B'+#G

ZG$ !"#$.)5a65@$'1$+"#$565#$b-)&6+A$96D#576'57$67$.#B6#N#9$)59$C.#7#5+#9$)@)65/$-765@$+"#$C63+'@.)D$3).97/$+'$D)a#$7-.#$+")+$)&&$C).+636C)5+7$)@.##$N6+"$+"#$.)5a65@G$

\G$ !"#$9673-776'5$67$3&'7#9$N6+"$)$7"'.+$7-DD).A$'1$+"#$3'53&-76'57

L

D. Importance ranking and data entry: !"#.#$).#$565#$b-)&6+A$96D#576'57$+")+$N6&&$(#$.)5a#9$9-.65@$+"#$R%87$N6+"$+"#$D'7+$6DC'.+)5+$.#3#6B65@$)$73'.#$'1$L$)59$+"#$&#)7+$6DC'.+)5+$)$73'.#$'1$KG$41$'5&A$'5#$R%8$67$3'59-3+#9$+"#$25)&$73'.#7$3)5$(#$-7#9$1'.$+"#$b-)&6+A$6DC)3+$73'.#$ 3)&3-&)+6'5G$*'N#B#./$ 61$ 7#B#.)&$ R%87$ ).#$ 3'59-3+#9$ 6+$ 67$ 5#3#77).A$ +'$3)&3-&)+#$)5$)B#.)@#$6DC'.+)53#$.)5a65@$73'.#$'1$#)3"$96D#576'5G

Table 1$!"#$4DC'.+)53#$.)5a65@$'1$+"#$:65#$c-)&6+A$96D#576'57$

6#:.(#*%9=>%?.$+7-$6"!.-#/(%3(78('+&1-,+'

9=>@%;1+A*

9=>B%C*/+0*%

9=>D%C*/+0*%

9=>E%C&*(* 91+&!:+ F.(3.0-*:.

G'55+0#3*-#'0%*0/%#04'(5*-#'0 H I I H I<J KI<JLHM@NNOHEP

F('4.$$#'0*7%3'5,.-.03. " H H E Q<J IDP

91!-.!;-.-#/('+&1-,+' R R E Q J<I REP

;44'(/*1#7#-2 E J Q R J<J R@P

<!#-+)#(=&%1-*+&(-)#+&!,#-%)(!)*(,%")'+.-): Q E D J E<I JDP

!SLTUV J D B I E<J JNP

W+,,'(- B Q R B E<D EQP

U04(*$-(+3-+(. D B J @ B<I D@P

W-#:5* @ @ @ D @<J @QP

R'.$#P)DC&#/$!)(&#$K$)('B#$6&&-7+.)+#7$+"#$6DC'.+)53#$.)5a65@$73'.#7$1.'D$+"#$2#&9$+#7+65@$65$:6@#.6)G$R'-.$R%87$N#.#$3'59-3+#9$N6+"$ +"#$ 1'&&'N65@$ .#7-&+7g$ E'DD-563)+6'5$ )59$451'.D)+6'5$.)5a#9$)7$+"#$D'7+$6DC'.+)5+$b-)&6+A$96D#576'5$ N6+"$ )5$ )B#.)@#$ 73'.#$ '1$ lGJ$ )59$>+6@D)$ )7$ +"#$ &#)7+$ 6DC'.+)5+$ N6+"$ )5$ )B#.)@#$73'.#$'1$KGJG$

053#$)&&$R%87$).#$3'59-3+#9$)59$+"#$9)+)$#5+.A$3'DC&#+#9/$+"#$)B#.)@#$C#.3#5+)@#$'1$6DC'.+)53#$.)5a65@$ 73'.#7$ 5##97$ +'$ (#$ 3)&3-&)+#9G$ !"#$)B#.)@#$ C#.3#5+)@#$ 67$ +"#5$ -7#9$ +'@#+"#.$ N6+"$+"#$ C#.1'.D)53#$ 73'.#7$ +'$ #B#5+-)&&A$ 3)&3-&)+#$+"#$b-)&6+A$6DC)3+$73'.#G$!"#$1'&&'N65@$3)&3-&)+6'5$7"'-&9$(#$-7#9g$;)B#.)@#$6DC'.+)53#$.)5a65@hL<!"-7$ 1'&&'N65@$ +"#$#P)DC&#$ 65$!)(&#$K$ +"#$25)&$6DC'.+)53#$ .)5a65@$ 73'.#$ 1'.$ b-)&6+A$ 96D#576'5$3'DD-563)+6'5$)59$651'.D)+6'5$N)7$9#.6B#9$(A$+"#$1'&&'N65@$3)&3-&)+6'5g$;lGJhL<KII$m$L\nG

KI

!"#$ 6DC'.+)53#$ .)5a65@$ 73'.#7$ '1$ #)3"$ R%8$9673-776'5$3)5$(#$#5+#.#9$65+'$+"#$9)+)$)5)&A767$N'.a7"##+/$N"63"$67$)B)6&)(&#$'5$+"#$E8H.'DG$!"#$N'.a7"##+$")7$(##5$9#76@5#9$)59$1'.D-&)+#9$+'$)-+'D)+63)&&A$ 9'$ +"#$ 5#3#77).A$ 3)&3-&)+6'57$ +'$C.'9-3#$+"#$25)&$6DC'.+)53#$.)5a65@$73'.#7G$>##$?55#P$Z$1'.$)5$#P)DC&#$'1$+"#$N'.a7"##+G$

2.2 Step two: Establish the Performance Score of the Services

45$ @#5#.)&/$ KIH^I$ 6596B69-)&$ C#.1'.D)53#$)77#77D#5+$ 65+#.B6#N7$7"'-&9$(#$3'59-3+#9$C#.$"#)&+"$ 1)36&6+AG$ *'N#B#./$ N"#5$ )CC&A65@$ c=0!_$!,$d6@"+$)+$+"#$867+.63+/$F.'B6536)&$)59$'.$:)+6'5)&$

&#B#&$.#7C'59#5+7$1.'D$7#B#.)&$"#)&+"$1)36&6+6#7$7"'-&9$C).+636C)+#G$F#.$867+.63+/$1'-.$+'$7#B#5$"#)&+"$1)36&6+6#7$7"'-&9$(#$653&-9#9$)59$+"#$5-D(#.$'1$65+#.B6#N7$3'59-3+#9$N6&&$9#C#59$'5$+"#$5-D(#.$'1$.#@67+#.#9$!,$C)+6#5+7G$

A. Recruitment of Respondents:

>6D6&).$ +'$ +"#$ R%87/$ C-.C'7#1-&$ 7)DC&65@$ 67$ -7#9$ +'$ .#3.-6+$ !,$ C)+6#5+7$ 1'.$+"#$C#.1'.D)53#$)77#77D#5+$65+#.B6#N7G$*#)&+"$1)36&6+A$7+)11$3)5$)7767+$N6+"$+"#$.#3.-6+D#5+$'1$!,$C)+6#5+7/$()7#9$'5$+"#$1'&&'N65@$3.6+#.6)Q

KG$ e#@67+#.#9$!,$C)+6#5+$)+$.#7C#3+6B#$"#)&+"$1)36&6+A^G$ *)B#$ )$ "67+'.A$ '1$ )+$ &#)7+$ Z$N##a7$ B676+65@$ +"#$ 1)36&6+A$ 1'.$ 96)@5'767$ )59$+.#)+D#5+$

ZG$ ?59h'.$)$C)+6#5+$+")+$")7$7+'CC#9$+.#)+D#5+o)$9#1)-&+#.\G$ 869$5'+$C).+636C)+#$65$+"#$R%8

B. Instruments:

!N'$6+#D7$).#$5##9#9g$K<$)5$651'.D#9$3'57#5+$1'.D$+'$(#$76@5#9$(A$+"#$C)+6#5+$)59$^<$)$7+)59).96X#9$b-#7+6'55)6.#$+'$(#$-7#9$1'.$+"#$6596B69-)&$65+#.B6#NG$?5$#P)DC&#$'1$+"#$b-#7+6'55)6.#$3)5$(#$1'-59$65$?55#P$^$)59$('+"$9'3-D#5+7$3)5$(#$1'-59$'5$+"#$E8H.'D

C. Conducting interviews:

!"#$ 65+#.B6#N7$ ).#$ 3'59-3+#9$ -765@$ +"#$ 7+)59).96X#9$ b-#7+6'55)6.#$ +")+$653&-9#7$ b-#7+6'57$ ()7#9$ '5$ +"#$ 565#$ b-)&6+A$ 96D#576'57G$ !"#$ 2.7+$ 7#3+6'5$;?<$'1$ +"#$b-#7+6'55)6.#$)99.#77#7$()763$9#D'@.)C"637/$ +"#$5#P+$ 7#3+6'5$ ;,<$

11

653&-9#7$ 651'.D)+6B#$)59$#B)&-)+6B#$b-#7+6'57$)99.#7765@$ +"#$C#.1'.D)53#$'1$+"#$1)36&6+A$)59$+"#$&)7+$7#3+6'5$;E<$C.'B69#7$1'.$)$9#73.6C+6'5$'1$+"#$65+#.B6#N$7#++65@G$>#3+6'5$,$'1$+"#$b-#7+6'55)6.#$7C#3623)&&A$3'5+)657$)$7#.6#7$'1$b-#7+6'57$.#@).965@$ 677-#7$+")+$).#$ &65a#9$+'$+"#$565#$b-)&6+A$96D#576'57G$!"#$)57N#.7$).#$3'9#9$)59$.)5@#$1.'D$5#B#.$;K<$+'$)&N)A7$;\</$)7$N#&&$)7$A#7$;K<$'.$5'$;^<G$

D. Performance scores and data entry:

!"#$ C#.1'.D)53#$ 73'.#7$ ).#$ 3)&3-&)+#9$ 1.'D$ +"#$ .#7C'57#7$ +'$ +"#$ 6596B69-)&$C#.1'.D)53#$ )77#77D#5+$ 65+#.B6#N7G$ ?7$ D#5+6'5#9$ )('B#/$ 7#3+6'5$ ,$ '1$ +"#$b-#7+6'55)6.#$C.'B69#7$+"#$D)65$('9A$'1$651'.D)+6'5$+'$)77#77$+"#$C#.1'.D)53#$'1$ +"#$.#7C#3+6B#$"#)&+"$ 1)36&6+6#7$)59$+"-7$C.'9-3#7$+"#$C#.1'.D)53#$73'.#7G$,#&'N$67$)5$#P)DC&#$'1$)$b-#7+6'5$D#)7-.65@$+"#$C#.1'.D)53#$'1$+"#$)B)6&)(6&6+A$'1$7#.B63#7/$7C#3623)&&A$+"67$b-#7+6'5$67$)99.#7765@$N)6+65@$+6D#7G$

;(.%-".%2!-#-):(#->+?'@(;+3%&+(;+-):('+&1+*%12%=&%1-*+&'(%3(#$-'(3!,-.-#/(!,,+=#!;.+(#%(/%"A(

1 2

3 4

Never Sometimes

Usually Always

!"#$C#.1'.D)53#$73'.#7$3)5$(#$96.#3+&A$#5+#.#9$65+'$ +"#$ 9)+)$ )5)&A767$ #P3#&$ N'.a7"##+/$ N"63"$3)5$(#$1'-59$'5$+"#$E8H.'D$)59$)7$)5$#P)DC&#$65$ ?55#P$ ZG$ !"#$ N'.a7"##+$ ")7$ (##5$ 9#76@5#9$)59$1'.D-&)+#9$+'$)-+'D)+63)&&A$9'$+"#$5#3#77).A$3)&3-&)+6'57$ +'$ C.'9-3#$ +"#$ 25)&$ C#.1'.D)53#$73'.#7G

?$ "6@"$ C#.1'.D)53#$ 73'.#$ D#)57$ +")+$ )$ &).@#$C#.3#5+)@#$'1$.#7C'59#5+7$ 65+#.B6#N#9$C.'B69#9$5#@)+6B#$.#7C'57#7$)59$+"#.#1'.#$+"#$"#)&+"$1)36&6+A$67$ C#.1'.D65@$ C''.&AG$ ?$ &'N$ C#.1'.D)53#$ 73'.#$D#)57$ +")+$ )$ 7D)&&$ C#.3#5+)@#$ '1$ .#7C'59#5+7$65+#.B6#N#9$C.'B69#9$5#@)+6B#$ .#7C'57#7$

)59$+"#.#1'.#$+"#$"#)&+"$1)36&6+A$67$C#.1'.D65@$N#&&G

R'.$ #P)DC&#/$ [[$ !,$ C)+6#5+7$ N#.#$ 65+#.B6#N#9$9-.65@$+"#$2#&9$+#7+65@$'1$c=0!_$!,$d6@"+$65$:6@#.6)G$01$+"#$[[$65+#.B6#N#9/$7#B#5$.#7C'59#5+7$@)B#$)$5#@)+6B#$.#7C'57#$;j5#B#.k$'.$j7'D#+6D#7k<$+'$+"#$b-#7+6'5$)99.#7765@$N)6+65@$+6D#7$;7##$)('B#<$.#7-&+65@$65$)$25)&$C#.1'.D)53#$73'.#$'1$;[h[[<KIIm$LnG$$05&A$+"#$5#@)+6B#$73'.#$67$-7#9/$65963)+65@$;65$+"67$#P)DC&#</$+")+$+"#$"#)&+"$1)36&6+6#7$)77#77#9$).#$C#.1'.D65@$N#&&$N6+"$.#@).9$+'$N)6+65@$+6D#7G$

A high performance score means the health facility is performing poorly.

K^

2.3 Step three: Calculate the Quality Impact Scores of the Care

The heart of c=0!_$!,$d6@"+$67$+"#$b-)&6+A$6DC)3+$;c4<$73'.#G$!"#7#$73'.#7$).#$9#.6B#9$1.'D$3'D(6565@$+"#$6DC'.+)53#$)59$C#.1'.D)53#$73'.#7G$,#&'N$).#$+N'$#P)DC&#7$1.'D$+"#$:6@#.6)$2#&9$+#7+65@$'1$c=0!_$!,$d6@"+G

Example 1

91!-.!;-.-#/(%3('+&1-,+' U5,'(-*03.%?*0)#0:%W3'(. KF''(M%F.(4'(5*03.%W3'(. X+*7#-2%U5,*3-

Y*#-#0:%-#5.$%K0OQQM REP HP KN<QH%Z%N<NHM@NO%%%%N<JI

_P)DC&#$'5#$67$)$b-#7+6'5$)99.#7765@$61$+"#$N)6+65@$+6D#7$(#1'.#$(#65@$7#.B#9$(A$C.'B69#.7$'1$+"#$1)36&6+A$).#$)33#C+)(&#G$!"67$7C#3623$677-#$.#3#6B#9$)$b-)&6+A$6DC)3+$73'.#$'1$IGJl/$N"63"$N)7$9#.6B#9$1.'D$D-&+6C&A65@$+"#$6DC'.+)53#$.)5a65@$;]\n<$(A$+"#$C#.1'.D)53#$73'.#$;Ln<$)59$D-&+6C&A65@$(A$KI$HH$+"-7$;IG]\$p$IGIL<$p$KImIGJlG

Example 2G'55+0#3*-#'0%*0/%

#04'(5*-#'0 U5,'(-*03.%?*0)#0:%W3'(. KF''(M%F.(4'(5*03.%W3'(. X+*7#-2%U5,*3-

W-',%$,(.*/#0:%/#$.*$.$%K0OQQM HEP DEP KN<HE%Z%N<DEM@NO

D<B

_P)DC&#$+N'$67$)$b-#7+6'5$)99.#7765@$61$+"#$"#)&+"$C.'B69#.7$65$+"#$1)36&6+A$C.'B69#$651'.D)+6'5$'5$N"#5$ +"#$C)+6#5+$N6&&$ 7+'C$7C.#)965@$!,$ +'$'+"#.7$ ;5'$ &'5@#.$651#3+6'-7<G$!"67$7C#3623$ 677-#$.#3#6B#9$)$c4$73'.#$'1$ZGK/$N"63"$N)7$9#.6B#9$1.'D$D-&+6C&A65@$+"#$6DC'.+)53#$.)5a65@$73'.#$;L\n<$(A$+"#$C#.1'.D)53#$73'.#$;Z\n<$)59$D-&+6C&A65@$(A$KI$o$+"-7$;IGL\$p$IGZ\<KIm$ZG^G$ !"#'.#+63)&&A/$+"#$D)P6D-D$c4$73'.#$67$KIG$!"67$N'-&9$65963)+#$+")+$KIIn$'1$+"#$.#7C'59#5+7$C#.3#6B#$+"#$"#)&+"$1)36&6+A$+'$(#$performing$C''.&A$'5$!,$3).#$7#.B63#7$+"#A$3'5769#.$+'$(#$#P+.#D#&A$importantG !"#$"6@"#.$+"#$c4$73'.#/$+"#$D'.#$5##9$1'.$6DC.'B#D#5+G

?&+"'-@"$6+$67$96123-&+$+'$@6B#$#P)3+$3.6+#.6)/$65$@#5#.)&$c4$73'.#7$)('B#$IG[J$65963)+#$+")+$6DC.'B#D#5+$67$C'776(&#$)59$D)A(#$5#3#77).AG$!"#$.#)7'5$+'$+).@#+$)$c4$73'.#$'1$IG[J$67$(#3)-7#$+"#$)B#.)@#$6DC'.+)53#$.)5a65@$73'.#$67$JIn$)59$KJn$'1$+"#$.#7C'59#5+7$N6&&$.#C'.+$5#@)+6B#$C#.1'.D)53#7G$

!"#$#P)DC&#7$)('B#$7"'N$+N'$9611#.#5+$c4$73'.#7/$+"#$2.7+$1)&&7$-59#.$+"#$3-+$'11$3.6+#.6)$'1$IG[J$)59$+"#$7#3'59$)('B#G$!"#$2.7+$c4$73'.#$'1$IGJl$65963)+#7$+")+$)$&'N$C#.3#5+)@#$'1$!,$C)+6#5+7$;Ln<$C#.3#6B#$+"#$"#)&+"$1)36&6+A$+'$(#$C#.1'.D65@$

The higher the QI score, the more need for improvement.

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N#&&$.#@).965@$N)6+65@$+6D#7/$N"63"$67$)$3'DC'5#5+$'1$!,$3).#$3'5769#.#9$+'$(#$6DC'.+)5+$N6+"$)5$6DC'.+)53#$.)5a65@$73'.#$'1$]\nG$4+$3)5$(#$3'53&-9#9$+")+$+"#.#$67$5'$5##9$+'$6DC.'B#$+"67$C).+63-&).$3'DC'5#5+$'1$!,$3).#G$

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3. Where and when to use QUOTE TB Light ?

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3.1 Health facility level

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3.2 District level:

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3.4 Operational research projects:

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4. Instruments for Applying QUOTE TB Light

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quote tb light - royal tropical institute · 3. step three: calculate the quality impact scores of...

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