Tanzania (2015): UNITAID Private Sector Rapid Diagnostic Test Project: Client Exit Interviews

In order to improve febrile case management in the private sector, in coordination with the National Malaria Control Program, a consortium of partners including Population Services International (PSI) is implementing a five-country project funded by UNITAID. The goal of the project is to increase the appropriate use of quality-assured RDTs in private sector outlets. In Tanzania the project will start with 50 private sector facilities in three regions (Tanga, Morogoro and Mbeya). Client exit interviews will be conducted with adult clients exiting selected eligible outlets within the project area to assess whether any diagnostic test, including RDTs, was administered during the visit; appropriateness of treatment(s) received given test results; general dispensing/prescription habits (types of medicine(s) and dosing); and costs. A client satisfaction module will provide additional programmatic data to aid project managers monitor quality performance among participating facilities. A short provider questionnaire administered to the main staff member responsible for testing on the day of the exit interviews will collect additional data to investigate associations between reported client outcomes and provider knowledge, beliefs and practices.

为优化私营部门发热病例的诊疗管理，本项目与国家疟疾控制规划（National Malaria Control Program）开展协作，由包含国际人口服务组织（Population Services International, PSI）在内的合作伙伴联盟牵头实施，是一项由联合国医疗产品采购机制（UNITAID）资助的五国合作项目。本项目的主要目标是提升私营医疗网点对经质量认证的快速诊断检测（Rapid Diagnostic Tests, RDTs）的合理应用率。
在坦桑尼亚境内，本项目先期将覆盖坦噶、莫罗戈罗及姆贝亚三个区域的50家私营医疗机构。
项目团队将针对项目区域内入选合规网点的成年就诊患者开展患者离院访谈（Client Exit Interviews），以评估就诊期间是否实施了包括快速诊断检测在内的各类诊断检测、结合检测结果评估患者所接受治疗的合理性、了解患者所获药物的配药与处方常规（涵盖药物种类与给药剂量）以及统计相关诊疗费用。
患者满意度调研模块将额外收集项目运营相关数据，助力项目管理人员监测参与机构的服务质量表现。
在离院访谈当日，项目团队还将向负责检测工作的核心医护人员发放简短的服务提供者问卷，以额外收集数据，探究上报的患者诊疗结局与医护人员的知识储备、认知观念及执业行为之间的潜在关联。