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Using the CDC framework for program evaluation in public health to assess tuberculosis contact investigation programs
1Division of Tuberculosis Prevention and Control, Massachusetts Department of Public Health, Jamaica Plain, Massachusetts 02130, USA.
Summary
Developing self-evaluation tools for tuberculosis (TB) contact investigation programs in Massachusetts is crucial. These tools, based on CDC guidelines, will help improve TB contact testing and follow-up rates to meet public health objectives.
Area of Science:
- Public Health
- Epidemiology
- Program Evaluation
Background:
- Tuberculosis (TB) contact testing and follow-up rates in Massachusetts fall below state and national targets.
- Existing TB programs require enhanced strategies to meet public health objectives.
Purpose of the Study:
- To develop contact investigation self-evaluation tools aligned with the CDC's Framework for Program Evaluation.
- To assess state and local TB contact investigation practices.
Main Methods:
- Utilized the CDC's Framework for Program Evaluation to develop self-evaluation tools.
- Pilot-tested the tools with public health nurse case managers in five city health departments.
- Revised tools based on feedback from pilot testing.
Main Results:
- The Massachusetts TB Division completed three key steps of the CDC framework: stakeholder identification, logic model creation, and tool development.
- Stakeholders were engaged, and logic models were developed to map state and local TB program components.
Conclusions:
- The CDC framework offers a valuable methodology for initiating the evaluation of TB contact investigation programs.
- Statewide implementation of the developed tools will identify areas for improvement and guide strategy development to enhance TB control efforts.