Title: Improving TB case identification at Athi river level 4 Hospital through stakeholder engagement

Problem statement:

• Low TB case identification
• Low TB ACF OPD at 15%

Methodology:

Data review showed suboptimal TB case identification in May 2024

1. Held consultative meeting with SCTLC/SCMLT/Facility Medsup and reviewed patient flow. Also identified an MOH staff to be the focal person for TB screening in OPD (customer care)
2. Facility CME done on TB ACF to all staffs
3. Lab support: Samples were being networked to Shalom Athi river hospital which is a private facility. Review showed long TAT of 7 days as a result of high staff turnovers and HCW capacity gaps. Through the support of SCMLT the gene xpert machine was moved to the GOK Athi River Level 4 in June 2024

Results

Impact:

• Improved TB case identification
• Improved TAT of results to 1 day and treatment initiation time to within 2 days