TB Data-to-Action Continuum in Kyrgyz Republic: Report
Citation: Chauffour, J., Silver, M., Murzabekova, T., Artykbaeva, A. (2022). TB Data-to-Action Continuum in Kyrgyz Republic: Report. Chapel Hill, NC, USA: TB DIAH, University of North Carolina
Abstract: A strong tuberculosis (TB) monitoring and evaluation (M&E) and surveillance system is a vital tool for countries to reach global goals to end TB. The United States Agency for International Development (USAID) leads the U.S. Government’s global efforts to end TB. USAID’s Global Accelerator to End TB is the Agency’s programmatic approach to fight TB. Under the Accelerator, USAID funds the TB Data, Impact Assessment and Communications Hub (TB DIAH) project, which developed a TB Data-to-Action Continuum (D2AC) Toolkit to measure countries’ progress and guide efforts to improve their TB M&E and surveillance systems. The D2AC allows national TB programs (NTPs) to precisely gauge the barriers to data use and assess the decision-making capabilities of different actors across their health systems. The purpose of a D2AC workshop is to guide the evaluation of data use capabilities to routinely monitor and improve data use attributes associated with TB program management and service delivery at subnational and national levels. The objective is to use the findings from the application of the D2AC Toolkit to evaluate TB M&E and surveillance systems by (1) assessing decision-making capabilities of different actors; (2) precisely gauging the barriers to data use; (3) helping NTPs select appropriate interventions in the context of their health systems; (4) developing an implementation plan to apply in the future; and (5) using implementation recommendations for strategic planning purposes and decision making.

The Kyrgyz Republic was selected as the first implementation location for the D2AC workshop. The workshop was held in June 2022 in Bishkek. Twenty-eight participants attended, representing all levels of the Kyrgyz health system and other TB stakeholder groups. The D2AC workshop was conducted in-person. The D2AC team applied a mixed methods approach conducted in three parts with the support of the D2AC Toolkit: (1) participants first completed the D2AC Toolkit’s data collection instrument individually and then in groups; (2) individually and then in groups, participants provided evidence and justification in the data collection instrument for the response options selected; and (3) in groups, participants identified priority actions for post-workshop implementation. A semi-structured questionnaire and focus group discussion method were implemented during the assessment. The D2AC team facilitated the workshop with the use of slides and handouts, and there were several break-out group activities and report-backs. Quantitative data from the 30 (25 individual and five group) data collection instruments were automatically generated using the D2AC Analysis Tool. The qualitative data—observations, comments, and questions submitted in the 30 instruments and brought up in group discussions and report-backs—were transcribed and analyzed.

The D2AC assessment in the Kyrgyz Republic shed light on the perceived weaknesses of the Kyrgyz TB system, primarily in the areas of data analysis and visualization (data use guidance specifically) and data quality. These two areas were subject to score revisions in plenary—a discussion followed by a hand re-voting process so that the score more accurately reflected the level of the TB system for these subdomains. These areas received scores lower than 2 out of 5, meaning that they were identified as being at a “nascent” stage on the continuum. The D2AC assessment in Kyrgyz Republic also shed light on the areas that were performing the best. The strongest-performing areas were data collection and reporting practices. Other strong areas were data integration and exchange, MEL, decision making ability, and hardware. These areas received scores superior to 3 out of 5, meaning that they were identified as being at an “established” stage on the continuum. No subdomain received an average score at the “institutionalized” stage of the continuum.

This report shares more on the workshop and recommendations.
Shortname: TR-22-488-TB
Author(s): Jeanne Chauffour, MS; Meredith Silver, MPH; Totugul Murzabekova, MD, MS; Aibike Artykbaeva, MD, MPH
Year: 2022
Language: English
Resource Type: Reports
Source: TB DIAH
Go to Top