Tuberculosis Prevention, Diagnosis, and Care in Manitoba, 2008-2010
Tuberculosis Prevention, Diagnosis, and Care in Manitoba, 2008-2010: A Performance Analysis by C. Andrew Basham A Thesis submitted to the Faculty of Graduate Studies of The University of Manitoba in partial fulfilment of the requirements for the degree of MASTER OF SCIENCE Department of Community Health Sciences University of Manitoba Winnipeg Copyright © 2016 by C. Andrew Basham ABSTRACT A cross-sectional study of Manitoba TB Registry data was conducted using a set of performance measures based on the US Centers for Disease Control and Prevention TB Performance Objectives and Targets framework. The study investigated all cases of TB diagnosed in Manitoba during the period of 2008 to 2010 (inclusive), and their contacts. Seven performance measures (PMs) were analyzed: treatment completion/cure, early diagnosis, HIV testing/reporting, paediatric cases, retreatment cases, contact elicitation, and contact assessment. Ethnic-origin, age, sex, geographic, and treatment history groups were compared on these PMs through log-binomial and robust Poisson regression analyses, implemented through a generalized estimating equations (GEE) modelling approach. An updated epidemiological profile is provided, along with a baseline of performance in TB prevention, diagnosis, and care in Manitoba. Significant differences were found between Manitoba sub-populations in the PMs. The PM framework developed in this study provided valuable information for TB program planning and evaluation. i ACKNOWLEDGEMENTS I would like to thank my Thesis Committee, and in particular Drs. Elias and Orr, for their commitment of time and energy towards this study. I would also like to acknowledge the Western Regional Training Centre in Health Services and Policy Research (WRTC) for providing me the funding to enter the M.Sc.
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