Quality of the Tuberculosis Control Program, Havana, Cuba, 2018

Background: Boyeros municipality is considered a high risk of tuberculosis, historically it maintains incidence rates above the provincial average. Objective: Evaluate the National Program for the Prevention and Control of Tuberculosis quality in Boyeros, 2018. Methods: a tactical evaluation was carried out according to components: structure, process and results. The universe constituted by 10 cases of tuberculosis notified during 2018 and 469 health workers who participated in the execution of the program. The information was obtained from the bibliographic and documentary review, the interview, observation and questionnaire. Summary measures such as absolute frequencies and percentage were used. Results: a deficit of doctors and nurses was found in the structure dimension, no update was carried out on the subject, 50% of the clinics did not have bottles, in 50% of the areas there was no availability of reagents, in the process dimension It did not comply with the indicators of second samples of sputum and cultures and in the results relapses and TB / HIV-AIDS co-infection were found. Conclusions: The lack of human and material resources, the lack of training on the subject, the failure to comply with the diagnostic times, the existence of relapses, loss of follow-up and TB / HIV co-infection, led to the evaluation of the National Program for the Control of Tuberculosis in the Boyeros municipality, during 2018 was evaluated as unsatisfactory, since the standards established for each dimension were not met.