Performance evaluation of the national tuberculosis control program 2016-2020: Souss-Massa region, Morocco

Area of Science:

• Public Health
• Epidemiology
• Health Policy Evaluation

Background:

• Tuberculosis (TB) remains a significant public health challenge in Morocco.
• Evaluating national TB control program performance is crucial for effective public policy.
• Results-based management necessitates performance assessments of public health initiatives.

Purpose of the Study:

• To analyze the performance of the national tuberculosis control program in Morocco's Souss Massa region.
• To evaluate TB control program effectiveness using a systemic approach model.
• To assess TB control program outcomes over a five-year period (2016-2020).

Main Methods:

• Descriptive secondary data analysis of TB control program indicators.
• Utilized data from the national TB control program's health information system.
• Included data from primary healthcare facilities, diagnostic centers, and regional health directorates.

Main Results:

• Tuberculosis incidence ranged from 63-72 cases/100,000 population.
• Average annual TB case detection was 1871.
• Therapeutic success rates varied between 82%-89%, with TB/HIV case failure rates between 3.10%-6.09%.

Conclusions:

• The Souss Massa region's TB control program performance indicators suggest challenges in meeting target objectives.
• Program tracer indicators highlight areas needing improvement for enhanced TB control.
• The study underscores the need for continuous evaluation of public health programs.