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Designing an operational research TB training program in Zambia.

R Kumar^1,2,3, J Bwembya^1,2,3, V Makwambeni^1,3

¹United States Agency for International Development (USAID) Eradicate TB Project, Lusaka.

Public Health Action

|May 27, 2024

Summary

Operational research (OR) training for healthcare workers in Zambia improved tuberculosis (TB) care, leading to reduced mortality and increased notifications. This capacity-building initiative demonstrated significant success in generating local evidence for TB control.

Keywords:

Africa OR Zambia capacity strengthening healthcare workers tuberculosis

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Area of Science:

Public Health
Operational Research
Infectious Disease Control

Background:

The USAID-funded Eradicate TB Project (ETB) collaborated with the National Tuberculosis and Leprosy Control Program (NTLP) in Zambia.
An operational research (OR) training program was established to generate local evidence for improving TB care.

Purpose of the Study:

To assess the feasibility and impact of an OR training program for healthcare workers (HCWs) in Zambia.
To generate local evidence to enhance tuberculosis (TB) care delivery and outcomes.

Main Methods:

Healthcare workers (HCWs) from district teams participated in two 10-day intensive training sessions between 2017 and 2021.
The program incorporated a competitive application process and a workshop on developing research questions.

Main Results:

Out of 36 enrollees, 26 (72.2%) completed the training, resulting in nine OR studies.
These studies informed interventions leading to reduced TB mortality, increased pediatric TB notifications, and improved sputum courier systems.
All nine studies were disseminated; three were published in peer-reviewed journals, and two were replicated nationally by the NTLP.

Conclusions:

Integrating OR training into TB control initiatives is feasible and highly beneficial.
The program's adaptive strategies offer valuable insights for similar settings globally.
Sustained mentorship and funding are crucial for long-term success and capacity strengthening of HCWs in Zambia.