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Related Experiment Videos

Performance-related allowances within the Malawi National Tuberculosis Control Programme.

A D Harries1, F M Salaniponi, P P Nunn

  • 1National TB Control Programme, Lilongwe, Malawi. adharries@malawi.net

The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|March 1, 2005
PubMed
Summary

Performance-related allowances are feasible for Malawi's National Tuberculosis (TB) Programme (NTP) staff. Implementing these payments requires further exploration to improve TB control targets and outcomes.

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Area of Science:

  • Public Health
  • Health Systems Strengthening
  • Tuberculosis Control

Background:

  • The National Tuberculosis (TB) Programme (NTP) in Malawi aimed to assess performance-related allowances.
  • This initiative targeted personnel at central and regional levels to enhance TB control efforts.

Purpose of the Study:

  • To determine the feasibility and effectiveness of performance-related allowances for NTP personnel.
  • To assess if staff could complete self-assessment forms and if the NTP could meet key performance targets.

Main Methods:

  • A descriptive study design was employed.
  • Data collection involved 6-monthly self-assessment forms and monitoring of NTP program targets.

Main Results:

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  • Most personnel completed self-assessment forms, with satisfactory individual performance noted.
  • Achievement of national TB control targets, such as case finding and treatment outcomes, was partial, impacting performance payments.
  • Conclusions:

    • Implementing performance-related payments for NTP personnel is feasible in Malawi.
    • Urgent exploration is needed to integrate such systems for NTP and broader health sector staff to improve program effectiveness.